腹腔镜胆总管探查术2161例报告  

Laparoscopic common bile duct exploration: a report of 2161 cases

作　　者：王佳牧[1] 陈安平[1] 山长星[1] 郭鑫[1] 索运生[1] 刘安[1] 易斌[1] 孙科[1] 

机构地区：[1]遵义医学院附属成都市第二人民医院肝胆胰外科

出　　处：《外科研究与新技术》2013年第3期152-154,166,共4页Surgical Research and New Technique

摘　　要：目的总结运用腹腔镜胆总管探查术的治疗经验。方法回顾性分析1992年3月至2013年3月成都市第二人民医院运用腹腔镜胆总管探查术对2 161例病人进行治疗的经验及效果。结果一期缝合的1 320例中1 241例(93.8%)及T管引流的841例中772例(91.7%)治疗获得成功;中转开腹24例,胆漏67例,术后残余结石内镜未能取净12例,死亡5例,其他并发症49例。结论只要选择合适的病例,腹腔镜胆总管探查术是可行、有效和安全的。Objective To summarize the experience of laparoscopic common bile duct exploration( LCDE). Methods The clinical data of 2 161 patients undergoing LCDE were analyzed retrospectively from March 1992 to March 2013 in the Second People,s Hospital of Chengdu. Results The procedure was successful in 1 241( 93. 8%) in 1 320 cases with primary suture of duct incision and 772( 91. 7%) in 841 cases with T tube drainage. Twenty-four cases were shifted to open common bile duct exploration. Bile leakage occurred in 67 cases. Residual stones were not removed by endoscopy in 12 cases. Five cases died postoperatively. Forty-nine cases were found with other complications. Conclusion If patients are in indication,LCDE is a feasible,safe and effective method for skilled endoscopists.

关 键 词：胆总管疾病 腹腔镜检查 胆结石 

分 类 号：R657.4[医药卫生—外科学]