腹腔镜下经胆囊管途径胆总管探查手术1186例文献分析  

Literature analysis of 1 186 cases of laparoscopic transcystic common bile duct exploration

作　　者：王舟翀[1] 罗浩[1] 

机构地区：[1]上海市普陀区人民医院普通外科,上海200060

出　　处：《中国普通外科杂志》2012年第8期941-945,共5页China Journal of General Surgery

摘　　要：目的:探讨腹腔镜经胆囊管途径胆总管探查术(LTCBDE)的适应证、手术技术及并发症。方法:检索2000年1月—2012年1月中国生物医学期刊论文数据库、中国生物医学学位论文数据库、中国生物医学会议论文数据库中有关LTCBDE手术的文献并分析。结果:共检索到17篇文献(1 186例),成功完成手术1 142例,成功率96.29%,平均手术时间(114.59±29.11)min,平均住院时间(5.17±1.8)d,术后并发症共21例(1.84%)。结论:LTCBDE作为一种微创胆总管探查手术,有着安全、有效、方便、经济的特点。临床上应扩展其适应证,对于结石少于3枚、胆囊管直径大于4 mm、结石直径小于5 mm的继发性胆管结石者应作为首选方法。Objective： To analyze the indications, surgical techniques and complications of laparoscopic transcystic common bile duct exploration （LTCBDE）. Methods： The literature related to LTCBDE from January 2000 to January 2012 was retrieved using Chinese Biomedical Journal Literature Database, Academic Dissertation Database and Meeting Papers Database were collected and analyzed. Results： Seventeen papers （1 186 cases） were selected, in which the operations were successfully performed in 1 142 （96.29%） cases, the average operative time was （1 14.59±29.11） min, average length of hospital stay was （5.17±1.8） d, and postoperative complications occurred in 21 （1.84%） cases. Conclusion： As a minimally invasive surgery3 LTCBDE has the advantages of being safe, effective, convenient and economical. Indications for LTCBDE should be expanded in clinical practice and it is the first choice for secondary cholangiolithiasis with number of stones less than three, diameter of cystic duct larger than 4 mm and diameter of stone less than S mm.

关 键 词：胆总管结石 腹腔镜 胆道镜 胆总管探查术 历史文献 

分 类 号：R657.4[医药卫生—外科学]