双频激光碎石在腹腔镜胆道探查难取性结石中的应用(附30例报告)

Double-frequency laser lithotripsy in laparoscopic exploration for refractory biliary calculi:with a report of 30 cases

目的:探讨双频激光碎石在腹腔镜胆道探查中治疗难取性结石的效果及安全性。方法:回顾分析2007年2月至2009年2月我院为30例难取性结石患者于腹腔镜胆道探查中行双频激光碎石的临床资料。结果:30例均取净结石,无胆管损伤、胆道出血等并发症发生。结论:双频激光碎石具有效率高、患者创伤小、并发症少等优点,是腹腔镜胆道探查中治疗难取性结石的有效方法。

Objective：To evaluate the efficacy and safety of double-frequency laser lithotripsy in laparoscopic exploration for refractory biliary calculi. Methods ： Clinical data of 30 cases with complicated biliary calculi, who underwent double-frequency laser lithotripsy in laparoscopic exploration from Feb. 2007 to Feb. 2009, were retrospectively analyzed. Results ： Biliary calculi were completely removed in 30 cases,and no complications such as bile duct injury or hemorrhage occurred. Conclusions：Double-frequency laser lithotripsy has the advantages of minimal invasion, high efficiency, and low postoperative complication rate. It is an effective alternative for patients with refractory biliary calculi during laparoscopic exploration.