摘要
目的:探讨腹腔镜联合胆道镜治疗胆总管结石的应用体会。方法:回顾性分析我院2008年10月-2010年10月收治的腹腔镜联合胆道镜行胆总管探查取石术18例的临床资料。结果:16例腹腔镜下完成手术,2例术中转开腹。术后胆漏1例,经引流痊愈;5例胆总管残余结石,术后行ERCP或经T管窦道胆道镜取石;平均住院时间(7.0±3.2)d。结论:腹腔镜联合胆道镜在胆总管切开取石术中的应用具有疗效好、并发症少、安全等优点。
Objective: To explore the operative experiences of laparoscope and intraoperative choledochoscopy for patients with choledoeholithiasis. Methods:The clinical data of 18 patients with choledocholithiasis treated by laparoscope and intraoperative choledochoscopy from Oct 2008 to Oct 2010 were analyzed retrospectively.Results: Among the 18 cases, 16 eases were successfully completed the laparoseope,and 2 cases were transferred to laparotomy during the laparoscopie procedure. 1 case was found postoperative bile leakages and were cured by drainage. 5 cases of residual common bile duct stones were cured by the postoperative endoseopieretrograde cholangiopancretography or trans-T tube eholangioseopy 4 weeks after operation. The average hospital stay was (7.0±3.2) days.Conclusion: Laparoscopic and choledochoscopic common bile duct exploration is of good efficacy, few complications and safe treatment for patients with cholecystolithiasis.
出处
《岭南急诊医学杂志》
2011年第4期281-282,共2页
Lingnan Journal of Emergency Medicine
关键词
腹腔镜
胆道镜检查
胆总管结石
laparoscope
choledochoscopy
choledocholithiasis