微爆破碎石在腹腔镜胆总管探查术治疗胆总管远端结石嵌顿中的应用效果

Application effect of micro-blasting lithotripsy for incarcerated gallstones in distal common bile duct during laparoscopic comom bile duct exploration

目的探讨微爆破碎石在腹腔镜胆总管探查术(LCBDE)治疗胆总管远端结石嵌顿中的应用效果。方法回顾性分析LCBDE中应用体内微电极碎石仪iMES-I-C治疗胆总管远端结石嵌顿的28例患者临床资料。结果28例患者均碎石成功,术中取净结石27例,1例残留小结石,术后7周胆道镜取石成功。碎石过程中未见胆道损伤及出血等并发症。结论LCBDE中采用微爆破碎石治疗胆总管远端结石嵌顿操作简单安全、效果可靠。

Objective To explore the application effect of micro-blasting lithotripsy for incarcerated gallstones in distal common bile duct during laparoscopic comom bile duct exploration(LCBDE).Methods The clinical data of 28 patients with incarcerated gallstones in distal common bile duct treated by iMES-I-C during LCBDE were retrospectively analyzed.Results All the 28 cases were successful in lithotripsy,27 cases were removed completely during the operation,and 1 case with residual small stones was successfully removed by choledochoscope at 7 weeks after operation.No complications such as biliary tract injury and bleeding were found during the process of lithotripsy.Conclusion Micro-blasting lithotripsy for incarcerated gallstones in distal common bile duct during LCBDE is simple,safe and has reliable effect.