腹腔镜联合胆道镜胆总管切开取石引流术治疗肝内外胆管结石的疗效

Efficacy of Laparoscope Combined with Choledochoscope Choledocholithotomy and Drainage for the Treatment of Intrahepatic or Extrahepatic Bile Duct Stones

【目的】探讨腹腔镜联合胆道镜治疗肝内外胆管结石的疗效和方法。【方法】回顾分析本院2008年9月至2010年9月128例腹腔镜联合胆道镜胆囊切除、胆总管切开取石治疗肝外胆管结石的临床资料。【结果】手术成功切除胆囊96例，腹腔镜胆囊切除术及术中胆道镜全部成功，无严重并发症发生。胆总管切开探查取石、T管引流术116例，中转开腹12例。【结论】腹腔镜联合胆道镜治疗胆囊炎胆结石、肝内外胆管结石疗效安全可靠，且创伤小，恢复快，值得临床推广应用。

[Objective]To explore the efficacy of laparoscopic combined with choledochoseope choledocholithotomy and drainage for the treatment of intrahepatic or extrahepatic bile duct stones. [Methods] The clinical data of 128 cases of intrahepatic or extrahepatic bile duct stones undergoing [aparoscope combined with choledochoscope cholecystectomy, choledocholithotomy and drainage in our hospital from September 2008 to September 2010 were analyzed retrospectively. [Results] The successful gallbladder removal operation was performed in 96 cases. Laparoscopic cholecystectomy and intraoperative cholangioscopy was performed successfully in all cases. No serious complication was found. Choledocholithotomy and T-tube drainage was underwent in 116 cases. Twelve patients turned to laparotomy. [Conclusion]I.aparoscope combined with choledochoscope for the treatment of eholecystitis, gallstones and intrahepatic or extrahepatic bile duct stones is safe, reliable and less invasive, and has quicker recovery. Therefore it is worthy of clinical application.