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机构地区:[1]景洪市人民医院,云南景洪666100 [2]成都军区昆明疗养院478医院
出 处:《腹腔镜外科杂志》2009年第6期441-442,共2页Journal of Laparoscopic Surgery
摘 要:目的:总结基层医院初期开展腹腔镜胆总管切开取石"T"管引流术(laparoscopic choledochotomy T-tube drainage,LCTD)的临床经验。方法:回顾分析我院为35例胆管结石患者行LCTD的临床资料。结果:29例(82.9%)顺利完成手术,6例(17.1%)中转开腹,2例(5.7%)术后发生胆漏。术后"T"管造影无结石残留。结论:严格掌握手术适应证,选择合适的病例,基层医院开展LCTD治疗胆管结石安全、可行。Objective:To summarize the clinical experiences of laparoseopie choledochotomy and T tube drainage (LCTD) at primary hospital in early period. Methods : The clinical data of 35 cases who accepted LCTD in our hospital were analyzed retrospectively. Results:Twenty-nine (82.9%) cases were successful,which were without conversion to open operation. 6 cases (17.1%) were converted to open operation, postoperative bile leakage occurred in 2 (5.7%) cases,no remnant calculus in common bile duct was found by postoperative T-tube cholangiography. Conclusions:LCTD is safe and feasible in primary hospital ,when the proper operative indications are followed strictly.
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