腹腔镜下胆囊切除+术中胆管造影治疗慢性结石性胆囊炎  

Laparoscopic cholecystectomy+treatment of intraoperative cholangiography in 18 cases of chronic cholecystitis

作　　者：曾春辉[1] 王道勤 赵豹[1] 董磊[1] 

机构地区：[1]皖北煤电集团总医院外三科,宿州234000

出　　处：《安徽医学》2011年第9期1268-1269,共2页Anhui Medical Journal

摘　　要：目的探讨腹腔镜下胆囊切除及术中胆道造影的方法。方法对2005年3月至2009年9月行腹腔镜下胆囊切除+术中胆管造影的18例慢性结石性胆囊炎患者的临床资料进行回顾性分析。结果术中造影失败但经胆囊管切口见胆总管内泥沙样结石流出1例,造影发现胆总管结石1例,腹腔镜下胆囊切除16例,中转开腹行胆囊切除+胆总管切开取石T管引流2例。结论腹腔镜下胆囊切除+术中胆管造影具有创伤小、痛苦少、恢复快等优点,并可了解肝外胆管有无变异,减少了胆道损伤和胆总管探查的几率。Objective Of laparoscopic cholecystectomy and intraoperative cholangiography method.Methods Of March 2005 to September 2009 the Group＇s total hospitals in Northern coal three subjects admitted laparoscopic cholecystectomy ＋ cholangiography in 18 cases of patients with chronic cholecystitis were retrospectively analyzed clinical data.Results Intraoperative common bile duct through cystic duct incision see out of the sand-like stones in one case,common bile duct stones found in 1 case angiography,16 cases of laparoscopic cholecystectomy,conversion to open cholecystectomy ＋ choledocholithotomy T tube drainage in 2 cases.Conclusion Laparoscopic cholecystectomy ＋ intraoperative cholangiography with less trauma and pain of patients is small,the advantages of quick recovery,can understand whether the variation of extrahepatic bile duct,reduce the probability of bile duct injury and lowers the probability of common bile duct exploration.

关 键 词：腹腔镜胆囊切除 胆管造影 慢性结石性胆囊炎 

分 类 号：R657.4[医药卫生—外科学]