腹腔镜在复发性胆管结石治疗中的应用

Laparoscopic Application for Recurring Bile Duct Calculus

目的探讨腹腔镜技术在复发性胆管结石治疗中的应用。方法对2006-2009年19例复发性胆管结石治疗中,应用腹腔镜行胆道探查取石T管引流术结合术中术后胆道镜取石术的回顾性分析。结果19例病例中2例中转开腹手术,余17例完全应用腹腔镜技术完成手术,其中2例术中应用胆道镜,1例术后应用胆道镜一次取石成功。随访两年未见并发症及结石复发。结论在掌握了熟练的腹腔镜技术和开腹手术的基础上,应用腹腔镜治疗复发性胆管结石是安全、有效、可行的,并能达到创伤小、恢复快、并发症少的微创目的。

Objective To explore the application of using laparoscope in treatment of recurring bile duct calculus.Methods Total 19 cases of recurring bile duct underwent laparoscopic choledocholithotomy and T-tube drainage or intra-or postoperative cholangioscope was performed from June 2006 to July 2009.Results The treatment was successful in 17 patients and there was no complication.For the other 2 with complications,laparotomy was conducted.Conclusion Laparoscope can be used to treat recurring bile duct calculus to achieve the goal of minimal invasion.