腹腔镜胆道探查取石术例临床分析(附46例报告)  

Clinical Analysis of Laparoscopic Common Bile Duct Explorationon:a Report of 46 Cases

作　　者：徐欣[1] 冯轲[1] 傅江华[1] 钱飞[1] 

机构地区：[1]玉溪市人民医院普外一科,云南玉溪653100

出　　处：《昆明医学院学报》2008年第5期179-181,共3页Journal of Kunming Medical College

摘　　要：目的探讨用腹腔镜行胆总管探查术治疗胆石症的微创意义及可行性.方法收集46例患者的临床资料,总结其手术时间、住院时间、手术并发症、手术成功率及残石率,对手术效果进行分析.结果46例患者均在腹腔镜下完成胆囊切除和胆总管切开取石"T"管引流术,手术时间为1～2.5h,住院时间为7～14d,无手术并发症,胆总管残余结石1例.结论腹腔镜胆道探查术技术上是安全可行的,具有并发症少、住院时间短、痛苦少、恢复快等优点,治疗效果肯定.Objectve To investigate the significance and feasibility of the laparoscopic common bile duct exploration （LCBDE） on the treatment of the cholecystolithiasis and choledocholithiasis. Methods The clinical data of 46 patients undergoing this procedure were collected, and sum up operative time, in hospital days, operative complications and operative success rates, analysis operative efficacy. Results All 46 cases were operated successfully with laparoscopic cholecystectomy, and laparoscopic choledochostomy with T tube drainage. The operative time was between 1 - 2.5 h and in hospital days were between 7 -14 d. No any post-operative complications occurred. But 1 case has remnant stones in the common bile duct. Conclusions The method of laparoscopic cholecystomy （LC） and/or laparoscopic common bile duct exploration （LCBDE） treating cholecystolithiasis and choledocholithiasis is safe and feasible technically. It is characterized by lower occurring rate of complication, shorter time of hospitalization, less pain and rapid recovery, it has a definite treating effect.

关 键 词：腹腔镜 胆道探查术 胆总管结石 

分 类 号：R567.4[医药卫生—呼吸系统]