腹腔镜下经胆囊管取石治疗胆囊结石合并继发胆总管结石的临床价值  

Vale of Laparoscopic Transcystic Duct Common Bile Duct Exploration in Patients of Gallstones with Secondary Choledochotithiasis

作　　者：屈顺喜[1] 孟晓东[1] 付庆江[1] 曹立瀛[1] 吴治宇[1] 张晖[1] 

机构地区：[1]华北理工大学附属开滦总医院肝胆外科二病区,唐山063000

出　　处：《肝胆外科杂志》2016年第3期217-218,共2页Journal of Hepatobiliary Surgery

基　　金：2015河北省医学科学研究课题计划项目(20150815)

摘　　要：目的探讨腹腔镜下经胆囊管取石治疗胆囊结石合并继发性胆总管结石的临床应用价值。方法回顾分析2014年5月至2015年11月间采用腹腔镜下经胆囊管取石治疗的胆囊结石合并继发胆总管结石的29例病人的围手术期的资料。结果 29例手术均获成功,结石全部取净。平均手术时间86±15 min;术中平均出血量25±11 ml;平均术后住院时间3±0.5 d。结论腹腔镜下经胆囊管取石治疗胆囊结石合并继发性胆总管结石安全有效,值得临床应用。Objective To evaluate the clinical vale of Laparoscopic transcystic duct common bile duct exploration（LTCBDE） in patients of gallstones with secondary eholedochotithiasis. Methods Between May 2014 and Nov 2015, 29 patients of gallstones with secondary eholedoehotithiasis underwent surgery, all of patients during perioperative period were analyzed, included that average duration of surgery, mean blood loss and postoperative hospital day. Results The LTCBDE was performed successfully in all patients. All patients receiving LTCBDE were dealt with primary closure of cystic duct. There were no severe complications such as bleeding and residual stones. The average duration of surgery was 86 ± 15 min and the mean blood loss 25 ± 11 ml. The postoperative hospital day was 3 ± 0. 5 days. Conclusions The LTCBDE to treat gallstones with secondary choledoehotithiasis in patients is safe and effective. It is worth to applying in clinical surgery.

关 键 词：腹腔镜 经胆囊管取石 继发性胆总管结石 

分 类 号：R657.4[医药卫生—外科学]