肝胆管结石腹腔镜微创治疗探讨  

Discussion of laparoscopy and bi1iary fiberendoscope to treatment common and hepatic bile duct calculi

作　　者：翁伟建[1] 贾保全[2] 司建荣[1] 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》2006年第12期1312-1314,共3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 fiberendoscope 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 calculi.

关 键 词：腹腔镜 纤维胆道镜 肝胆管结石 

分 类 号：R575.62[医药卫生—消化系统]