腹腔镜联合术中胆道镜经胆囊管治疗胆总管继发性结石32例报道  

Laparoscopic Transcystic Common Bile Duct Exploration in Secondary Common Duct Lithiasis:A Report of 32 Cases

作　　者：和红春[1] 杜锐锋[1] 李晗宇[1] 张冰[1] 陈焰[1] 杜云飞[1] 

机构地区：[1]云南省第二人民医院肝胆外科,云南昆明650021

出　　处：《昆明医科大学学报》2014年第5期102-104,共3页Journal of Kunming Medical University

摘　　要：目的探讨腹腔镜下经胆囊管胆道镜治疗胆总管继发性结石的适应症及方法.方法对32例腹腔镜下经胆囊管胆道镜治疗的继发性胆总管结石资料进行回顾性分析,并与同期进行的腹腔镜下胆总管切开探查、T管引流组进行比较.结果全组顺利完成,无并发症出现.与对照组相比,在术后住院时间、住院费用方面具有明显优势.结论对于符合条件的继发性胆总管结石患者,腹腔镜下经胆囊管胆道镜取石者结果明显优于胆总管切开取石,T管引流者.MRCP检查对手术适应症的判断及对手术操作具有指导作用.Objective To investigate the operative indication and surgical technique of the laparoscopic transcystic common bile duct exploration in secondary common duct lithiasis.Methods Clinical data of 32 cases with secondary common duct lithiasis treated with laparoscopic transcystic common bile duct exploration were analyzed retrospectively,and were compared with the group of common bile duct exploration and T tube drainage in the same period.Results The operation of 32 cases was successful with no complications.Compared with the control group,the hospitalization time and expense after operation have obvious advantages.Conclusion To the suitable patients for laparoscopic transcystic common bile duct exploration,the therapeutic effect was significantly better than that in the routine group.Pre-operative MRCP examination can provide valuable information for surgical indications and surgical planning.

关 键 词：腹腔镜 经胆囊管 胆道镜 继发性胆 总管结石MRCP 

分 类 号：R657.42[医药卫生—外科学]