腹腔镜胆总管切开纤维胆道镜取石术260例报告  

Laparoscopic choledocholithotomy and T-tube drainage: a report of 260 cases

作　　者：胡三元[1] 亓玉忠[1] 张建良[1] 于文滨[1] 王培林[1] 李波[1] 

机构地区：[1]山东大学第二医院,山东济南250033

出　　处：《山东医药》2001年第14期9-10,共2页Shandong Medical Journal

摘　　要：对２６０例肝内外胆管结石患者在腹腔镜下切开胆总管用纤维胆道镜取石，胆总管内置入Ｔ管。腹腔 镜手术全部成功，手术时间为７０～２３０分钟。术后发生胆漏６例，十二指肠损伤１例，腹腔残石致引流管口形成脓 肿１例，胆道残石１０例，经Ｔ管窦道纤维胆道镜取石后治愈。从Ｔ管引流出钛夹２例。术后第二天进流质饮食并 下床活动，平均住院５天，带Ｔ管出院。认为该手术扩大了腹腔镜胆囊切除术适应证，具有创伤小、恢复快、住院 短等优点，是治疗胆囊结石并胆总管结石尤其是胆总管大结石的有效方法。260 cases with binary calculus were performed by laparoscope. The CBD was incised, the calculuses were taken out by binary fiberendoscope. All cases were operated successfully. The span of operation time was 70-230 min. The patients can take food and walk on the second postoperative day. The average lengh of postoperative stay was 5 days. The complications involved in binary fistula(n=6),injury of the duodenum (n = 1),abscess of drainage tube orifice(n=1 ),titanium clip draining out from T-tube (n=2),retained CBD stones (n = 10). Patients with retained CBD stones were cured by using the binary fiberendoscope. It shows that LCTD is safe with advantages of shorter hospital stay,mild injury and rapidly recovery. It is an effective method in treating gallstone combining with calculus of CBD.

关 键 词：腹腔镜 胆总管结石 T管引流 纤维胆道镜 

分 类 号：R657.42[医药卫生—外科学]