开腹胆道术后胆管结石的腹腔镜处理  

Laparoscopic Choledochotomy for Common Bile Duct Stone after Open Biliary Surgery

作　　者：马海 尹思能[2] 李青亮[2] 张诗诚[2] 蔡斌[2] 郑坚[2] 李涛[2] 

机构地区：[1]四川省南充市中心医院肝胆外科,四川南充637000 [2]四川省成都市第二人民医院肝胆外科,四川成都610017

出　　处：《华西医学》2002年第1期84-84,共1页West China Medical Journal

摘　　要：目的 :探索腹腔镜处理开腹胆道术后胆管结石的方法。方法 :我们在 1999年 11月～ 2 0 0 1年 5月期间 ,对 11例有开腹胆道手术史的胆管结石病人 ,成功实施了腹腔镜胆管探查手术。结果 :男性 8例 ,女性 3例。年龄平均 5 3 6岁 (35～ 71岁 )。开腹胆道手术距离本次手术的时间平均 9 5年 (4～ 2 8年 )。平均手术时间 16 3 6分(110～ 2 80分 )。 7例术后置放T管 ,4例胆管一期缝合。无手术并发证 ,无死亡。结论 :腹腔镜胆管探查技术日渐成熟 ,既往有开腹胆道手术史的 。Objective:A review of laparoscopic manag em ent of common bile duct stone after open biliary operation.Methods:From NOV 1999 to May 2001,a retrospective study of laparoscopic common bile duct exploration performed on 11 patients with choledocholithiasis who had a previous open biliar y operative history.Results:This study involved eight men and three women with m ean age of 53 6 years(range,35～71 years).All cases were approached by laparosc opy with mean operating time of 163 3 minutes(range,110～280 minutes).7 patient s had T-tube insertion after bile duct exploration,and 4 cases had primary bile duct closure.There was no postoperative complications,and no death.Conclusions:A s the laparoscopic technique develop,reoperation of laparoscopic common bile duc t exploration could be performed safely and feasiblely even for patients with ch oledocholithiasis who had open biliary operative history.

关 键 词：腹腔镜胆管探查 开腹胆道术后 二次手术 胆管结石 

分 类 号：R657.4[医药卫生—外科学]