腹腔镜胆总管切开取石T管引流术治疗胆囊结石并胆总管结石  

Treatment of cholecysto-choledocholithiasis by laparoscopic choledocholithotomy-T-tube drainage

作　　者：陶凯雄[1] 王国斌[1] 张杰[1] 芦晓明[1] 蔡开琳[1] 张波[1] 韩高雄[1] 王继亮[1] 邓浩 辛建 陈志武 付刚 

机构地区：[1]华中科技大学同济医学院附属协和医院腹腔镜外科中心,武汉430022 [2]武汉市商业职工医院外一科

出　　处：《临床外科杂志》2005年第10期619-621,共3页Journal of Clinical Surgery

摘　　要：目的探讨腹腔镜下胆囊切除胆总管探查术式治疗胆囊结石并胆总管结石的微创意义及可行性。方法分析76例胆囊结石并胆总管结石运用腹腔镜下胆囊切除胆总管切开取石术的术式及病例资料特点。结果所有患者均行腹腔镜胆囊切除胆总管探查T管引流术(LCH-TD),无中转开腹病例、无手术并发症。结论腹腔镜胆囊切除胆总管探查术是治疗胆囊结石并胆总管结石的标准术式,技术上是可行的,微创效果肯定。Objective To explore the feasibility of laparoscopic common bile duct exploration（LCBDE） treating cholecysto-choledocholithiasis. Methods The mini-invasive operative methods and clinical characteristics of 76 cases of common bile duct stones with gallbladder stones treated with laparoscopic cholecystectomy and common bile duct expoloration-T tube drainage were analyzed. Results The operation of laparoscopic cholecystectomy（LC） and LCBDE-T tube drainage was performed on all 76 cases successfully. No case was converted to open operation and no operative complications occurred. Conclusion The LC abd LCBDE were applicable in technique, definitely effective and safe in treatment, and the standard operating methods dealing with cholecysto-choledocholithiasis.

关 键 词：腹腔镜胆道探查术 胆管结石 

分 类 号：R657.42[医药卫生—外科学]