腹腔镜辅助下经腹壁小切口治疗胆总管结石  

Laparoscopic-assisted small incision operation for the treatment of common bile duct stones

作　　者：张学功[1] 李洪波[1] 张传平[1] 张学玲[1] 

机构地区：[1]山东省日照市人民医院肝胆外科,日照276800

出　　处：《中国微创外科杂志》2004年第6期472-473,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨腹腔镜辅助下经腹壁小切口胆总管切开探查、取石的可行性。　方法　腹腔镜下完成胆囊切除 ,用腹腔镜进行胆总管定位 ,在对应部位做腹壁小切口。经此切口进行胆总管切开探查、取石。　结果　 17例中 16例成功 ,1例中转开腹手术。手术时间 90～ 16 0min ,平均 12 0min。每例取出结石 1～ 4枚 ,最大结石 2 5cm。结石均一次取净。术后 3～ 4周造影证实胆道无残余结石。随诊 8～ 36个月 ,平均 14个月 ,无胆管残余结石和胆管炎发作。　结论　腹腔镜辅助下经腹壁小切口胆总管切开探查取石可行 。Objective To investigate the feasibility of laparoscopic-assisted small incision exploration and stone extraction for the treatment of common bile duct stones. Methods Following the laparoscopic cholecystectomy, the location of the common bile duct was determined under laparoscope. A small abdominal incision was made at the corresponding site and the exploration of common bile duct and extraction of stones were conducted via the incision. Results Among a total of 17 cases, the operation was successfully accomplished in 16 cases and a conversion to open surgery was required in 1 case. The operative time was 90～160 min (mean, 120 min). The number of extracted stones per case was 1～4, with the maximum size of 2.5 cm. All the stones were removed on one session. Postoperative cholangiography 3～4 weeks after the surgery indicated no residual stones. Follow-up for 8～36 months (mean, 14 months) showed no residual stones or occurrence of cholangitis. Conclusions Laparoscopic-assisted small incision exploration and stone extraction for common bile duct stones is feasible, being readily to popularize in basic hospitals.

关 键 词：腹腔镜 腹壁小切口 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]