全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石Ⅰ期缝合的可行性研究

Feasibility study of cholecystectomy and choledocholithotomy applying laparoscope in combination with choledochoscope with primary closure

目的：探讨全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石并Ⅰ期缝合的可行性。方法：收治实施全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石并Ⅰ期缝合治疗的患者58 例，总结临床效果，分析可行性。结果：58 例患者手术成功54 例，成功率93.10%；手术时间1.75～2.39 h，出血量14.25～53.62 mL，住院时间7～10 d；均随访至少0.5 年，显示无胆总管残余结石与胆管狭窄等。结论：在熟练掌握手术指征情况下，采取全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石并一期缝合治疗，疗效明显，安全性高。

Objective:To explore the feasibility of cholecystectomy and choledocholithotomy applying laparoscope in combinationwith choledochoscope with primary closure.Methods:58 patients treated by cholecystectomy and choledocholithotomy applyinglaparoscope in combination with choledochoscope with primary closure were selected.We summarized the clinical effect andanalyzed the feasibility.Results:54 patients were successful in 58 cases,and the success rate was 93.10% .Operation time was1.75～2.39 h.The amount of bleeding was 14.25～53.62 mL.The length of stay in hospital was 7～10 d.All the cases werefollowed up for at least 0.5 years,showing no residual stones of common bile duct and bile duct stenosis.Conclusion:In the case ofmaster surgical indications,the curative effect of cholecystectomy and choledocholithotomy applying laparoscope in combinationwith choledochoscope with primary closure is obvious,and the safety is high.