腹腔镜联合术中经胆囊管胆道镜辅助胆管探查取石术(附546例报告)  

Laparoscopic trancysitc common bile duct exploration: a report of 546 cases

作　　者：郭伟[1] 韩威[1] 金岚[1] 刘军[1] 赵晓牧[1] 李建设[1] 张忠涛[1] 王宇[1] 

机构地区：[1]首都医科大学附属北京友谊医院普外科,北京100050

出　　处：《外科理论与实践》2011年第4期359-361,共3页Journal of Surgery Concepts & Practice

基　　金：北京市科技新星计划(2008A086)

摘　　要：目的:总结腹腔镜联合术中胆道镜经胆囊管胆道探查取石术(laparoscopic transcystic common bileduct exploration,LTCBDE)治疗胆囊结石合并胆总管结石的临床经验。方法:回顾性分析我院2006年12月至2010年12月间546例采用LTCBDE治疗胆囊结石合并胆总管结石的临床资料和疗效。结果:成功完成LTCBDE 519例。成功率95.1%(519/546),全组平均手术时间(83.2±36.5)min,术后平均住院时间(2.1±2.1)d。全组并发症发生率1.5%(8/546)。结论:LTCBDE应成为治疗继发性胆总管结石的首选方案。Objective To explore the role of laparoscopic trancysitc common bile duct exploration（LTCBDE） in treating patients with suspected or incidental common bile duct（CBD） stones.Methods A retrospective analysis was perfomed on the clinical outcome of 546 cases of secondary CBD stones treated by LTCBDE.Results LTCBDE were successfully performed in 519 cases,with a sucessful rate of 95.1%（519/546）.The mean operative time was（83.2±36.5） min,the mean postoperative hospital stay was（2.1±2.1） d,and the post-operative complication was 1.5%（8/546）.Conclusions The study advocates that LTCBDE rants as the first choice treatment in the management of patients with secondary CBD stones.

关 键 词：腹腔镜 胆道镜 胆总管结石 微创外科 

分 类 号：R657.42[医药卫生—外科学]