腹腔镜联合胆道镜胆总管探查取石术98例的临床体会  

Laparoscopic united choledochoscope saluran empedu umum eksplorasi operasi 98 kasus klinis pengalaman

作　　者：何举[1] 

机构地区：[1]云南省第四人民医院(大理学院附属医院),671000

出　　处：《中国实用医药》2009年第8期49-50,共2页China Practical Medicine

摘　　要：目的探讨腹腔镜联合胆道镜在胆总管探查取石术中的应用价值。方法回顾分析2004-2008年98例腹腔镜联合胆道镜胆总管探查取石术患者临床资料。结果Ⅰ期胆总管缝合的有46例,腹腔镜下放置T管引流的有52例。91例微创手术成功,4例中转开腹,T管术后14～19d拔管,平均住院时间10d,1例结石残留,并发胆漏2例。结论腹腔镜联合胆道镜在胆总管探查取石术中的应用安全可靠,且创伤小,恢复较快。Objective Discussion of the Joint choledochoscope in laparoscopic common bile duct exploration surgery value. Methods A retrospective analysis from 2004 to 2008,98 cases of laparoscopic United choledochoscope common bile duct exploration surgery in patients with clinical data. Results I period of the common bile duct suture ,46 cases of laparoscopic placed T-tube drainage of 52 cases. 91 cases of minimally invasive surgery successful,4 cases of conversion,T tube 14 to 19 days after extubation,the average length of stay is 10 days, 1 case of residual stones, complicated by bile leakage in 2 cases. Conclusion Choledochoscope in the united laparoscopic common bile duct exploration surgery is safe and reliable, and less trauma and faster to restore.

关 键 词：腹腔镜 胆道镜 胆总管 

分 类 号：R657.4[医药卫生—外科学]