腹腔镜联合胆道镜治疗胆总管结石78例分析

Laparoscopic Treatment of Biliary Microscopy Analysis of 78 Cases of Common Bile Duct Stones

目的总结腹腔镜联合胆道镜治疗胆总管结石的临床体会。方法回顾分析2008年1月至2009年9月我院联合应用腹腔镜纤维胆道镜微创治疗78例胆总管结石的临床资料。结果手术时间50-80min，平均的65min，胆总管Ⅰ期缝合78例，术后1例出现少许胆漏，腹腔引流保守治疗。72h拔除腹腔引流管。78例均痊愈出院．无严重并发症发生。结论腹腔镜联合胆道镜治疗胆总管结石具有创伤小、切口感染率低、术后康复快、住院时间短、腹腔脏器粘连轻、可行胆总管一期缝合等诸多优点。临床效果良好。安全可靠。

Objective Summary laparoscopic biliary mirror the clinical experience of treatment of common bile duct stones. Methods Retrospective analysis from January 2008 to September 2009 in our hospital combined with minimally invasive laparoscopie Choledochofiberscope bile duet stones treated 78 cases of clinical data.Results Operative time was 50 -80 min, an average of 65 min, bile duct I suture 78 cases, 1 case occurred a few postoperative bile leakage, intra-abdominal drainage conservative treatment. 72h removal of intra-abdominal drainage tube. 78 cases were cured and discharged without serious complications.Conclusions Laparoscopic treatment of common bile duct stones with biliary mirror trauma, incision infection rate is low, rapid postoperative recovery, short hospital stay, intra-abdominal organs adhesion of light, practical common bile duct a suture, and many other advantages. With good clinical effects, safety and reliability.