腹腔镜胆总管切开取石T管引流术在老年患者中的应用

Laparoscope combined with choledochoscope in choledochotomy for stone removaland exploration in aged patients

目的总结老年患者腹腔镜胆总管切开取石T管引流术的临床经验。方法回顾性分析56例胆囊合并胆总管结石患者在腹腔镜下行胆囊切除及胆总管切开取石术的术式及病例资料特点。结果52例在腹腔镜联合胆道镜下成功行胆囊切除及胆总管切开取石T管置入术，无死亡病例。结论腹腔镜联合胆道镜行胆囊切除、胆总管切开探查取石、T管引流术具有安全可靠、损伤小、康复快、住院时间短等优点，是治疗胆囊结石、胆总管结石的有效方法。

Objective To summarize the clinical experience of laparoscope combined with choledochoscope in choledochotomy for exploration, stone removal and T - tube drainage in aged patients. Methods Retrospective analysis of the mini - invasive operative methods and clinical characteristics of 56 cases of common bile duct stones with gallbladder stones t - freated with laparoscopic cholecystectomy and common bile duct expoloration - T tube drainage. Results The operation of laparoscopic cholecystectomy（LC） and LCBDE -T tube dra -nage was performed on 52 cases successfully. No operative complications occurred. Conclusion Laparoscope combined with choledochoscope in laparoscopic chole - cystectomy and choledochotomy for exploration, stone removal and T - tube drainage is safe and reliable. Damage in patients are minor, who recover more quickly and with shorter hospitalization time. This method is feasible in treatment of calculi in gallbladder and bile duct.