全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石Ⅰ期缝合的可行性研究  

Feasibility study of cholecystectomy and choledocholithotomy applying laparoscope in combination with choledochoscope with primary closure

作　　者：王鹏[1] 刘会东[1] 阚永丰[1] Wang Peng;Liu Huidong;Kan Yongfeng(Department of General Surgery,Beijing Shi Jing Shan Hospital of Shijingshan Teaching Hospital of Capital Medical University 100043)

机构地区：[1]首都医科大学石景山教学医院北京市石景山医院普外科,100043

出　　处：《中国社区医师》2016年第14期67-67,69,共2页Chinese Community Doctors

摘　　要：目的：探讨全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石并Ⅰ期缝合的可行性。方法：收治实施全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石并Ⅰ期缝合治疗的患者58 例，总结临床效果，分析可行性。结果：58 例患者手术成功54 例，成功率93.10%；手术时间1.75～2.39 h，出血量14.25～53.62 mL，住院时间7～10 d；均随访至少0.5 年，显示无胆总管残余结石与胆管狭窄等。结论：在熟练掌握手术指征情况下，采取全腹腔镜下联合胆道镜胆囊切除、胆总管切开探查取石并一期缝合治疗，疗效明显，安全性高。Objective:To explore the feasibility of cholecystectomy and choledocholithotomy applying laparoscope in combinationwith choledochoscope with primary closure.Methods:58 patients treated by cholecystectomy and choledocholithotomy applyinglaparoscope in combination with choledochoscope with primary closure were selected.We summarized the clinical effect andanalyzed the feasibility.Results:54 patients were successful in 58 cases,and the success rate was 93.10% .Operation time was1.75～2.39 h.The amount of bleeding was 14.25～53.62 mL.The length of stay in hospital was 7～10 d.All the cases werefollowed up for at least 0.5 years,showing no residual stones of common bile duct and bile duct stenosis.Conclusion:In the case ofmaster surgical indications,the curative effect of cholecystectomy and choledocholithotomy applying laparoscope in combinationwith choledochoscope with primary closure is obvious,and the safety is high.

关 键 词：全腹腔镜 胆道镜 胆囊切除 胆总管切开 

分 类 号：R657.4[医药卫生—外科学]