胆道镜经胆囊管行胆道探查的方法与评价

Exploration of biliary tracts through cystic duct by choledochofiberscopy

为解决胆囊切除术后胆管内结石的残留，对３８例胆囊多发结石病人，采用胆道镜经胆囊管途径行胆道探查的方法，取代胆总管切开探查，结果发现１６例胆管内残留结石并予取出。为术中胆道探查取石。

Residual stones in biliary tracts after cholecystectomy are a common place, suggesting that the method of management is outdated and simplistic. In this study, exploration of bliary tracts was performed in 38 patients with cholelithiasis through cystic duct instead of common bile duct by choledochofiberscopy. Residual stones were found in biliary tracts of 16 cases. All of the residual stones were taken out successfully, and recovered well. There was no postoperative complication. It is concluded that this method can prevent residual stones and avoid complication caused by negative exploration of common bile duct. It is considered to be potential for further clinical application.