腹腔镜技术在继发性胆总管结石治疗中的应用

Clinical application of laparoscopic techniques to treatment of secondary choledocholithiasis

目的总结腹腔镜技术在继发性胆总管结石治疗中的临床经验。方法我院自2006年2月—2013年4月,采用腹腔镜下胆总管切开取石和腹腔镜下经胆囊管胆总管取石术,治疗76例继发性胆总管结石患者。结果 76例中,腹腔镜下胆总管切开取石66例,经胆囊管取石10例;2例因肝外胆道变异中转开腹;术后无手术并发症,经"T"管造影无结石残留。结论腹腔镜手术治疗继发性胆总管结石安全、可行。

Objective To summarize the clinical experience in the application of laparoscopy to the treatment of secondary eholedo- cholithiasis. Methods From Feb. 2006 to Apr. 2013, 76 patients with secondary choledocholithiasis underwent common bile duct exploration or transcysfic duct exploration via iaparoseopy in our department. Results Of the 76 patients, 66 underwent laparoscopic common bile duct exploration and 10 underwent laparoscopic transcystie duct exploration. There were 2 cases converted to open operation due to extrahepatic biliary tract variation. No complications occurred, and no remnant calculi in common bile duct were found by postoperative T-tube cholangiography. Conclusion Laparoscopic techniques applied to the treatment of secondary chole- docholithiasis are safe and reliable.