腹腔镜胆总管切开探查取石术49例临床分析  

Clinical Analysis of Laparoscopic Choledocholithotomy in Treatment of 49 Patients with Choledocholithiasis

作　　者：王绍勇[1] 戴德祥[1] 郑军[1] 

机构地区：[1]成都铁路分局医院,四川成都610081

出　　处：《华西医学》2007年第2期301-301,共1页West China Medical Journal

摘　　要：目的探讨腹腔镜胆总管切开探查取石术的术前检查,手术方法及术后残石的处理。方法根据术前检查,术中胆道造影,采用腹腔镜胆总管切开探查取石,“T”管引流,结合胆道镜,EST等方法治疗肝外胆道结石。结果该组49例中46例手术成功,3例中转开腹,4例残石经“T”管瘘道取出,1例残石经EST取出,2例胆漏,经引流痊愈。结论腹腔镜胆总管切开探查取石术是治疗肝外胆道结石微创、安全、有效的方法。Objective： To investigate the preoperative examinations, the methods and the treatment of residual stones of laparoscopic eholedocholithotomy. Methods ： We performed a retrospective analysis of the patients with extrohepatic cholelithiasis after treatment of eholedocholithotomy during 1998 - 2006 in our hospital. All the patients were managed with choledocholithotomy, T - tube drainage in combination with choledochoscope and EST. Results： 46, of 49 cases in this study, were successful and 3 were transfer to open surgery. The residual stones in 4 patients were extracted via fistulous tract of T - tube drainage and 1 was via est. Bile leakage occurred in 2 patients and they fully recovered after drainage. Conclusions： Choledocholithotomy is a tiny wound, effective and safe treatment for extrohepatic cholelithiasis.

关 键 词：腹腔镜 胆总管 结石 

分 类 号：R657.4[医药卫生—外科学]