肝胆管结石腹腔镜微创治疗探讨  

Discussion of laparoscopy and biliary fiberendoscope to treatment common and hepatic bile duct cholelithiasis

作　　者：翁伟建[1] 李新华[1] 贾保全[2] 赵玉元[2] 

机构地区：[1]广东省佛山市南海中医院外科,广东佛山528200 [2]兰州大学第一临床医院普外科,甘肃兰州730000

出　　处：《中国内镜杂志》2005年第B11期11-14,共4页China Journal of Endoscopy

摘　　要：目的：探讨腹腔镜胆总管切开联合纤维胆道镜探查取石T管引流或一期缝合（LCDE）治疗肝胆管结石的经验。方法：运用腹腔镜及纤维胆道镜对126例肝胆管结石患者进行腹腔镜下胆总管切开及胆道镜探查取石术、T管引流或一期缝合。结果：126例手术均获成功，无中转开腹。无死亡病例，无近期严重并发症。住院时间明显缩短，而手术时间与开腹手术相似。部分病例随访半年以上未见远期并发症。结论：腹腔镜胆总管切开联合纤维胆道镜探查取石、T管引流或一期缝合是安全有效的，具有创伤小、恢复快、住院时间短等优点，是治疗肝胆管结石的有效方法。Objective： To explore the clinical application of laparoscopy and biliary fiberendoscope common bile duct（ CBD ）exploration , primary suture and T tube drainage（ LCDE ）. Methods： laparoscopic exploration of common bile duct with biliary fiber＇endoscope were performed in 126 cases operation,primary suture or T duct drainage were used. Results：126 cases were succeed,no patient was transfered to open operation,no one died,no short-term severe complication was found,The hospitalization duration was shortened.The operative duration was same as that of open choledocholithotomy.No long-term complication was found in a portion of patients followed-up not less than 6 months.Conclusions：LCDE with primary suture and T tube drainage operation is safe and effective with advantage of short postoperative stay, mild injury and rapid recovery.It is an effective method to treatment common and hepatic bile duct cholelithiasis.

关 键 词：腹腔镜 纤维胆道镜 肝胆管结石 开腹手术 

分 类 号：R657.42[医药卫生—外科学] R711.71[医药卫生—临床医学]