腹腔镜手术在胆管结石治疗中的应用

The application of laparoscopy in the treatment of biliary lithiasis

目的 :探讨腹腔镜技术治疗胆管结石的临床应用价值及其手术适应证的选择。方法 :应用腹腔镜手术设备与器械和纤维胆道镜及其配套器械 ,成功地为 30例胆管结石患者实施了腹腔镜手术治疗。结果 :手术均获成功。术后 2 4h内可下床活动、胃肠功能恢复并进流质饮食 ,术后 5d～ 7d出院。无 1例发生胆管残留结石、胆汁漏、胆道出血或胆道狭窄。结论 :腹腔镜手术治疗胆管结石是一种新的、安全有效的手术方法 ,可以使相当一部分胆管结石的患者在不开腹的状态下得到满意的治疗 。

Objective To evaluated the application of laparoscopy in the treatment of biliary lithiasis and disscus its operation indication.Method 30 patients with biliary lithiasis underwent the treatment with current laparoscopic devices and technique,and choledocho fiberscope.Results All laparoscopy operation was successful,all patients had their gestrointestinal functions recovered 24 hours after the operation and were dischargen 5-7 days after the operation without any complications:residul calculus in the biliary tract,biliary leakage,hemobilia and biliary stenosis and so on.Conclusion This operation is a new type operation program,it provides a satisfactory treatment for the considerable patients with biliary lithiasis without the use of laparotomy,but to select its operation indication should be cautions at present.