肝外胆管结石外科手术治疗的临床研究

The extrahepatic bile duct stones of surgical treatment of clinical research

目的:研究与探讨肝外胆管结石外科手术治疗方法及注意事项。方法:分析40例我院收治的肝外胆管结石行腹腔镜胆道探查手术患者的临床资料,其中男性16例,女性24例,年龄为24-65岁。结果:38例肝外胆管结石患者在腹腔镜下成功完成手术,其余2例患者因为手术失败以及发生胆道出血而中转开腹手术,38例患者的手术时间105～200mi n,术中出血量为30～210ml,平均住院天数为7天。其中有2例患者术后存在残余结石,通过窦道胆道镜成功取石,全部患者在6周后进行T管造影并将T管拔出,未出现胆漏。结论:腹腔镜胆道检查手术安全、可行,且手术创伤小,恢复速度快,术后并发症少,是治疗肝外胆管结石的有效方法。

Objective To study and discuss the extrahepatic bile duct stones surgical treatment methoa ana the matters neeading at- tention. Methods 40 cases were analyzed from the extrahepatic bile duct stones line laparoscopic bile duct exploration surgery pa- tients clinical data of 16 cases of men, women, 24 cases were age 24～65 years old. Results 38 cases of extrahepatic bile duct in pa- tients with laparoscopic surgery was finished successfully, and the rest 2 cases of patients for surgical failures and happen biliary tract hemorrhage and transfer laparotomy,38 patients with surgical time of 105-200 min,intraoperative amount of bleeding for 30-210 ml,av- erage hospitalization days for 7 d.There are 2 patients had the existence of residual calculi, through the antrum choledochoscope suc- cess stone, all patients in six weeks after T tube imaging and T tube pull out, does not appear bile leakage. Conclusion Laparoscopic biliary tract check operation safety, feasible,and surgical trauma small, fast recovery, less postoperative complications, treatment of ex- trahepatic bile duct is the effective method.