腹腔镜胆道探查术44例临床分析

Clinical analysis of 44 patients with laparoscopic common bile duct

目的探讨腹腔镜胆总管探查术(Laparoscopic common bile duct exploration,LCBDE)在治疗胆石症中的临床应用价值。方法对我院肝胆外科44例手术中应用胆道镜配合腹腔镜胆道探查术的临床资料进行分析。结果 44例患者均在腹腔镜下完成胆囊切除和胆总管切开取石术,胆总管一期缝合或"T"管引流术;手术时间为2.0～3.5h,住院时间为6～9d,无严重手术并发症。结论腹腔镜胆道探查术在技术上是安全可行的,可广泛应用于肝内外胆管结石,具有创伤小,痛苦轻、恢复快、住院时间短等优点。

Objective To investgate the clinical application value of Laparoscopic common bile duct（LCBD）.Methods The clinical data of 44 patients who undergone LCBD were retrospectively analyzed.Results All 44 patients underwent laparoscopic cholecystectomy,laparoscopic choledochostmy and primary closure or T tube drainage successfully.The operative time was randed from 2.0 to 3.5 hours and in hospital days were 6-9 days.No serioul post-operative complications occurred.Conclusion LCBD is safe and feasible for cholecystolithiasis holedocholithiasis with the advantages of less injury and pain,rapid recovery and shorter time of hospitalization.