腹腔镜胆总管切开取石术治疗肝外胆管结石  

Laparoscopic Choledochotomy for Stones Removed from Choledochus Common Bile Duct

作　　者：林江[1] 戴德祥[1] 陈安平[2] 

机构地区：[1]成都铁路分局医院外科,四川成都610081 [2]成都市第二人民医院肝胆胰外科,四川成都610017

出　　处：《华西医学》2008年第5期983-984,共2页West China Medical Journal

摘　　要：目的:总结运用腹腔镜胆总管切开取石术治疗肝外胆管结石的治疗经验。方法:运用腹腔镜胆总管切开取石术的手术方式,包括胆总管切开、胆管镜取石、液电碎石、扩张狭窄、放置塑料支架、经胆囊管残端输尿管导管胆管引流、T管引流、胆总管切口即时缝合等,有选择地对732例肝外胆管结石的患者进行治疗。结果:腹腔镜胆总管切开取石术治疗肝外胆管结石732例,中转开腹5例。术中胆管镜取净结石614例,术后胆管镜取净残留结石113例,术后十二指肠镜取净残留结石3例,再次开腹取净残留结石2例。术后胆漏35例。胆总管切口即时缝合区狭窄2例,拔T管后胆总管切口区狭窄1例。其他多种并发症均经非手术综合疗法治愈。术后死亡3例。结论:只要选择合适的病例,腹腔镜胆总管切开取石术治疗肝外胆管结石,对于有较高胆管镜和腹腔镜技术者是可行、有效和安全的[1]。Objective:To summarize the experience on laparoscopic choledochotomy for stones removed from commonon bile duct(LCCS).Methods:From March 1992 to May 2005,there were 732 cases undergoing LCCS,involving choledochotomy,choledochoscopic exploration,electrohydralic lithothipsy,dilation stenosis,plastic stent placement,ureteral catheter through cystic duct remnant for drainage of bile duct,T-tube drainage,and the primary closure of duct incision.Results:The procedure was successful in 681 cases(93%),Five cases we...

关 键 词：胆总管疾病 腹腔镜检查 胆结石 

分 类 号：R657.42[医药卫生—外科学]