腹腔镜胆囊切除联合胆道镜胆总管探查治疗胆囊结石并胆总管结石的临床诊治体会

Laparoscopic cholecystectomy combined with endoscopic common bile duct exploration in treatment of cholelithiasis and choledocholithiasis

目的探讨腹腔镜胆囊切除联合术中胆道镜胆总管探查治疗胆囊结石并胆总管结石的临床价值。方法回顾分析2005年5月至2011年6月,320例胆囊结石并胆总管结石患者的临床资料,均于腹腔镜胆囊切除术(Laparoscopic Cholecystectomy)中切开胆总管,行纤维胆道镜胆总管探查取石,术中胆道造影。结果 320例手术均获成功,其中291例常规放置T管,29例行胆总管一期缝合。结论 LC联合会术中胆道镜胆总管探查取石术具有微创,住院时间短,恢复快、安全性大等优点,值得临床推广应用。

Objective To investigate The clinical value of the laparoscopic cholecystectomy combined with intraoperative choledochoscopy for common bile duct exploration in treatment of cholelithiasis and choledo- cholithiasis clinical value. Methods retrospective analysis of 2005 May to 2011 June,320 cases of gallstones and bile duct stones in patients with clinical data, both in the laparoscopic cholecystectomy （ Laparoscopic Cho- lecyseectomy） in incision of common bile duct, line of choledochofiberscopic common bile duct exploration, in- traoperative cholangiography. Results 320 cases of operation were successful, including 291 cases of routine placement of T tube ,29 cases of primary suture of common bile duct. Conclusion LC Federation intraoperative cholangioscopy common bile duct exploration with minimally invasive, shorter hospitalization time, quick recov- ery, security and other advantages, it is worthy of clinical application.