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腹腔镜胆道镜联合诊治胆总管结石 被引量:5

Diagnosis and treatment of choledocholithiasis by laparoscopy combined with cholangioscopy
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摘要 目的:总结腹腔镜联合纤维胆道镜治疗胆囊结石合并继发胆总管结石的诊治经验。方法:回顾性分析2004年至2010年我科应用腹腔镜联合胆道镜实施胆总管探查术的65例临床资料。结果:65例中62例顺利完成腹腔镜胆总管探查术;中转开腹率4.6%(3/65);阴性探查结果5例。平均手术时间120 min。常规留置T管,术后10~14 d作T管造影,术后14~40 d拔除T管。术后无严重并发症发生。结论:腹腔镜胆总管探查术治疗胆囊结石继发胆总管结石不仅安全有效,而且病人痛苦轻、恢复快。 Objective To summarize the experience in the diagnosis and treatment of gallbladder stone and choledocholithiasis by laparoscopy combined with cholangioscopy.Methods The clinical data of 65 cases from 2004 to 2010 undergoing laparoscopic common bile duct exploration were analyzed retrospectively.Results Laparoscopic common bile duct exploration were successfully performed in 62 cases,with 5 cases of a negative exploration.Three cases were converted to open laparotomy.The average operating time was 120 min.T-tube drainage was routinely carried out in all the patients.No severe complications occured.Conclusions Laparoscopic common bile duct exploration is a safe and effective approach for the diagnosis and treatment of choledocholithiasis,with the advantages of producing less pain and causing quicker recovery.
出处 《外科理论与实践》 2011年第4期362-364,共3页 Journal of Surgery Concepts & Practice
关键词 腹腔镜 纤维胆道镜 胆总管探查术 Laparoscopy Choledochoscopy Choledochotomy
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