腹腔镜胆总管探查33例的临床体会  

Clinical Evaluation of Laparoscopic Choledocholithotomy with T-tube Drainage in 33 Cases

作　　者：赵立新[1] 董宝珠[1] 

机构地区：[1]内蒙古自治区医院普通外科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2011年第11期1323-1324,共2页Inner Mongolia Medical Journal

摘　　要：目的：探讨及总结腹腔镜胆总管切开取石＂T＂管引流术的临床价值及相关手术经验。方法：对行腹腔镜胆囊切除、胆总管切开取石＂T＂管引流术33例患者的临床资料进行回顾性分析。结果：本组33例均成功实施LCBDE术,无中转开腹。无并发症发生。胆总管一期缝合5例,置T管引流28例。手术时间60~150 min,平均110 min。术后住院5~10 d,平均8.5 d。结论：腹腔镜胆总管切开取石＂T＂管引流术创伤小,术后恢复快,是安全可靠且有效的手术方式。Objective：To investigate and summarize the clinical value and the operative experience of laparoscopic choledocholithotomy with T - tube drainage. Methods： 33 eases who underwent laparoseopic choladochlithotomy and common bile duet exploration with T - tube drainage were retrospectively analyzed. Results： The operation was successful in 33 eases, No cases were converted to open surgery. 5eazes were performed primary bile duct suture, and 28 cases with the T tube placement, The duration of operation was 60-- 150 rain （averaged 110 rain）, average postoperative hospital stay was 8.5 days. Conclusions： The laparoscopic common bile duct exploration with T- tube drainage is a safe and effective operation with little injury and quick recovery.

关 键 词：腹腔镜胆总管探查术 胆总管结石 T管引流 

分 类 号：R575.7[医药卫生—消化系统]