腹腔镜、胆道镜联合U100激光处理胆总管末端嵌顿性结石

Laparoscopy and Choledochoscopy Combined With U100 Laser Lithotripsy in the Treatment of Incarcerated Stones at the End of Common Bile Duct

目的探讨腹腔镜胆道镜联合U100激光治疗胆总管末端嵌顿性结石的效果。方法回顾性分析2014年9月~2019年9月11例胆囊结石合并胆总管末端嵌顿结石行腹腔镜胆囊切除(laparoscopic cholecystectomy,LC)+胆总管探查(laparoscopic common bile duct exploration,LCBDE)+U100激光碎石术资料。结果手术均成功,无大出血、胆漏、胰漏、肠漏等严重并发症,术后4~6周T管造影无残余结石。结论LC+LCBDE+U100激光碎石术治疗胆囊结石合并胆总管末端嵌顿结石,直观,准确,疗效确切。

Objective To investigate the clinical experience and value of laparoscopy and choledochoscopy combined with U100 laser lithotripsy in the treatment of incarcerated calculi at the end of common bile duct.Methods From September 2014 to September 2019,11 cases of gallbladder stones with incarcerated calculi at the end of common bile duct were treated with LC(laparoscopic cholecystectomy)+LCBDE(laparoscopic common bile duct exploration)+U100 laser lithotripsy.Results All the operations were successful,and there were no serious complications such as massive hemorrhage,biliary leakage,pancreatic leakage,or intestinal leakage.No residual calculi were detected by T-tube angiography at 4-6 weeks after the operation.Conclusion LC+LCBDE+U100 laser lithotriptic technique for the treatment of cholecystolithiasis combined with common bile duct end incarcerated calculi is a direct,accurate,and effective surgery.