经皮胆囊管悬吊法在腹腔镜经胆囊管行胆总管探查手术中的应用研究

Clinic Application Study of Common Bile Duct Exploration Via Cystic Duct in Laparoscopy by Slingplasty

目的:探讨经皮悬吊胆囊管在腹腔镜经胆囊管胆总管探查术中的临床应用。方法:对24例造影证实胆囊结石并发胆总管结石患者行腹腔镜胆囊切除术,术中悬吊胆囊管,并经胆囊管行胆道镜胆总管取石。结果:24例患者均顺利取出结石,无胆漏、感染及胰腺炎等并发症,随访3～32月无结石复发。结论:通过经皮悬吊胆囊管可以提高腹腔镜经胆囊管胆总管取石术成功率,相对缩短手术时间,同时安全、有效。

Objective：To discuss the clinic application of transvystic common bile duct exploration in laparoscopy by sling bile cyst duct.Methods：24 cases with common bile duct stones confirmed by in-operation choledochography have transvystic common bile duct exploration by slinging bile cyst duct in laparoscopic cholecystectomy.Results：All 24 cases removed stones,no complication such as bile leak,infection,or pancreatitis.No one recur stones.Conclusions：the bile cyst duct Slingplasty can enhance the success rate,and make operation fast,safe and useful.