腹腔镜联合胆道镜微创治疗胆道结石210例分析

Laparoscopy Combined with Choledochoscopy in the Treatment of 210 Patients with Bile Duct Stones

目的:总结腹腔镜联合胆道镜微创治疗胆道结石的手术技巧和临床应用。方法:回顾分析总结腹腔镜联合胆道镜微创治疗胆道结石210例患者的临床资料。结果:210例患者中,胆囊合并胆总管结石171例,单纯性胆总管结石26例,胆总管结石合并肝吸虫病8例,胆总管结石合并左肝右肝管结石5例。患者平均手术时间为69min,平均术后住院日为5.4d。结论:腹腔镜联合胆道镜微创治疗胆道结石手术创伤小,时间短,疗效好,安全可靠。

Objective：To summarize the surgical technique and clinical application in the treatment of bile duct stones with laparoscopy combined with choledochoscopy.Methods：The clinical data of 210 patients underwent choledocholithiasis therapy were retrospectively analyzed.Results：Among 171 patients with gallbladder and common bile duct stones,26 patients were common bile duct stones,8 patients were liver fluke disease combined with common bile duct stones,5 patients were common bile duct stones combined with left or right hepatic duct stones.The average operation time was 69 minutes.The averge length of stay after operation was 5.4 days.Conclusions：The treatment with laparoscopy combined with choledochoscopy can be safely and effectively used in bile duct stones with the advantages of less trauma and time.