腹腔镜胆管探查术在老年胆石症中的应用  

The application of laparoscopic common bile duct exploration in elderly patients with cholelithiasis

作　　者：朱振新[1] 杨志奇[1] 胡涛[1] 王锐[1] 肖元初[1] 

机构地区：[1]荆州市中心医院外一科,湖北434020

出　　处：《腹部外科》2010年第1期24-25,共2页Journal of Abdominal Surgery

摘　　要：目的探讨腹腔镜胆管探查术在老年胆石症中的应用价值。方法回顾性分析2003年7月至2009年7月应用腹腔镜胆管探查处理103例老年胆石症病人的临床资料。结果103例经积极术前处理合并疾病,均安全度过围手术期。其中直接切开胆管探查93例,经胆囊管探查胆管6例,中转开腹4例。行T管引流22例,一期缝合77例,一期缝合术后39例发生胆漏,无胆管残余结石及胆管狭窄发生。结论选择合适病例,腹腔镜胆管探查微创治疗老年胆石症安全、有效。Objective To explore the application of laparoscopic common bile duct exploration in the elderly patients with cholelithiasis. Methods The clinical data of 103 elderly patients with chole- lithiasis who underwent laparoscopic common bile duct exploration from July 2003 to July 2009 were analyzed retrospectively. Results All 103 elderly patients were safe during perioperative period after active pre-operative management on the accompanied diseases. Direct common bile duct exploration was performed on 93 patients, transcystic common bile duct exploration on 6 patients, and 4 patients were converted to laparotomy. Twenty-two patients received T-tube drainage, and 39 patients suffered bile leakage among 77 patients subject to primary suture. No post-operative bile duct stenosis and remanent stone occurred in primary suture cases. Conclusion Laparoscopic common bile duct exploration was safe and effective in dealing with elderly patients with cholelithiasis.

关 键 词：腹腔镜 胆石 老年人 

分 类 号：R657.42[医药卫生—外科学] R575.62[医药卫生—临床医学]