腹腔镜联合胆道镜行开腹胆道术后胆总管结石的临床疗效  

Clinical Efficacy of Reoperation of Bile Duct by Laparoscopy and Choledochoscopy for the Treatment of Choledocholithiasis

作　　者：陈曦[1] 袁寅[1] 周红兵[1] 杨兴业[1] CHEN Xi;YUAN Yin;ZHOU Hong-bing;YANG Xing-ye(Taizhou People’s Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院,江苏泰州225300

出　　处：《泰州职业技术学院学报》2022年第1期61-63,共3页Journal of Taizhou Polytechnic College

摘　　要：目的探讨腹腔镜联合胆道镜行开腹胆道术后胆总管结石的疗效。方法回顾性分析我院2016年4月至2021年2月收治37例既往开腹胆道术后胆总管结石患者行腹腔镜胆道再手术的临床及随访资料。结果37例患者无中转开腹,均顺利完成,无胆瘘、胆管损伤、肠管损伤等严重并发症,手术时间135(90~180)min,术后住院时间7.8(5~9)d。术后随访4个月至5年,无结石复发及胆管狭窄。结论具有丰富腔镜手术经验的胆道外科医师实施腹腔镜联合胆道镜行开腹胆道术后胆总管结石,安全有效,具有创伤小、恢复快及并发症少的优点。Objective To investigate the efficacy of reoperation of bile duct by laparoscopy and choledochoscopy for the treatment of choledocholithiasis.Methods We retrospectively studied the clinical data of 37 patients who were diagnosed recurrent or residual common bile duct(CBD)stones after prior bile duct surgery.All of 37 pa⁃tients had undergone reoperation by laparoscopy and choledochoscopy between April 2016 and February 2021.Results In all the 37 patients,there was no conversion to open surgery.There were no serious complications due to bile leakage,bile duct injury and bowel injury.The operation time was 135(90~180)min,the time of postoperative hospital stay was 7.8(5~9)d.All patients were followed up for 4 months~5 years,and no postop⁃erative stricture of bile duct,recurrent bile duct stones were found.Conclusions Reoperation of bile duct by laparoscopy and choledoehoscopy for the treatment of choledocholithiasis is effective with advanteges of minimal trauma,quick recovery and fewer complications in hands of experienced laparoscopic surgeons.

关 键 词：胆总管结石 胆道再手术 腹腔镜检查 胆道镜检查 

分 类 号：R657.42[医药卫生—外科学]