硬直胆镜下碎石治疗肝胆管残留结石

Lithotripsy for residual cholelithes by rigid choledochoscopy

目的 :探讨胆道探查术后胆道残余结石取石的新方法。方法 :对 31例胆道残余结石患者通过T管窦道采用硬直胆镜取出主要肝胆管中纤维胆道镜难以取出的结石。结果 :30例患者残余结石完全取出 ,避免再次手术。结论

Objective To evaluate a new lithotomy for postoperatively residual cholelithes. Method Using rigid choledochoscopy to extract the residual cholelithes which could hardly be extracted by fibrocholedochoscopy through the T tube sinus in 31 cases. Result The residual cholelithes were extracted in 30 cases, reoperation was avoided. Conclusion The residual cholelithes can be effectively extracted by the rigid choledochoscopy plus mechanical lithotripsy through T tube sinus.