腹腔镜胆总管探查术的临床应用  

Clinical application of laparoscopic common bile duct exploration

作　　者：袁云峰[1] 

机构地区：[1]重庆三峡中心医院医教部,重庆404000

出　　处：《肝胆胰外科杂志》2010年第4期310-311,共2页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的总结腹腔镜胆总管探查取石手术的临床疗效。方法回顾性分析2004年3月至2009年12月我院采用腹腔镜治疗胆囊结石合并胆总管结石67例患者的临床资料。结果 67例胆囊结石合并胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开探查取石,手术均获成功,无中转开腹。16例行胆总管一期缝合,51例行T管引流术;手术平均时间100 min,平均住院时间8.3 d(7～14 d)。术后胆漏3例,经过非手术处理治愈。本组术后6～12个月后随访未发现结石,效果满意。结论严格掌握适应证,规范手术操作,腹腔镜下行胆总管探查取石是一种微创、安全、有效的手术方式。Objective To summarize the therapeutic effects of lithotripsy surgery through laparoscopic com-mon bile duct exploration（LCBDE）.Methods The clinical data of 67 patients who underwent LCBDE to treat gallstone with choledocholithiasis in our hospital from March 2004 to December 2009 were retrospectively analyzed.Results 67 cases of gallbladder stones with common bile duct stones were treated with stone re-moval through cholecystectomy and choledochotomy under laparoscope.All surgeries were successful,with no case performed open choledocholithotomy（OC）.16 cases underwent primary suture,and 51 cases underwent T-tube drainage.The operative average time was 100 min,and the time length of hospitalization was 8.3 d（7~14 d）.3 cases with bile leakage after surgery were cured by nonoperative treatment.Follow-up after 6~12 months indicated no stones and satisfactory results.Conclusion LCBDE may be a minimally invasive,safe and effective surgical method with strictly controlled indication and standardized operative procedure.

关 键 词：腹腔镜 胆总管探查 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]