上腹部手术后胆管结石的腹腔镜手术治疗

Laparoscopic choledocholithotomy in patients with previous upper abdominal surgery

目的 :探讨上腹部手术后胆管结石腹腔镜手术治疗的方法、可行性、安全性和有效性。方法 :14例有上腹部手术史胆管结石患者采用 4孔法进行腹腔镜手术联合术中、术后胆道镜检查 ,取石治疗。结果 :腹腔镜手术成功率 93% ,无 1例发生胆漏、切口感染、大出血等并发症 ,术后 1年复查无 1例结石复发。结论 :上腹部手术后胆管结石患者行腹腔镜手术治疗可行、安全且有效。

Objective:To evaluate the feasibility, efficiency and security of laparoscopic choledocholithotomy in patients with previous upper abdominal surgery. Methods:Laparoscopic choledocholithotomy was performed in 14 patients with previous upper abdominal surgery, assisted with choledochoscopy intra post operation.Results:Laparoscopic choledocholithotomy was successfully performed in 13 of the 14 patients (93%).No complication of bile leakage and infection was found. Patients had short hospitalization. No recurrence in one year after operation.Conclusions:Laparoscopic choledocholithotomy is a effective and safe method for treatment of patients with previous upper abdominal surgery.