腹腔镜胆总管切开取石方法探讨  

Laparoscopic bile duct exploratation and extraction of bile duct stones

作　　者：陈斌[1] 秦仁义[2] 胡明彦[1] 

机构地区：[1]江汉油田中心医院内镜中心,潜江433121 [2]华中科技大学同济医学院同济医院

出　　处：《腹腔镜外科杂志》2003年第2期75-76,共2页Journal of Laparoscopic Surgery

摘　　要：目的 :探讨腹腔镜下胆总管探查胆道取石的方法。方法 :于腹腔镜下对胆总管结石 4 5例按由简单到复杂 ,由损伤轻到损伤重的原则应用冲洗、挤压及分离钳、胆道镜、改良取石钳取石。结果 :用冲吸法取净结石 3例 ,占 6 .6 % ;挤压和分离钳取净结石 13例 ,占 2 8 9% ;胆道镜取净结石 11例 ,占 2 4 % ;取石钳取净结石 18例 ,占 4 0 %。结论 :腹腔镜下胆总管取石应遵循由简到繁的原则 。Objective:To study the method of laparoscopic bile duct exploration and extraction of bile duct stones.Methods:Washing, extruding, tonging, choledochofiberscope and forceps of take stone stond were used in 45 cases of common bile duct stone. The procedure were carried on from simplicity to complicacy and from little damnification to heavy one. All cases were cheeked by choledochofiberscope after taking out stone.Results:3 cases (6.6%) were cleanly taken out stones by washing, 13 cases (28.9%) were taken out stones by extruding and tonging, 11 cases (24.4%) were taken out stones by choledochofiberscope, and the other 18 cases (40%) were taken out stones by forceps of take stone.Conclusions:Exploration and extraction of bile duct stones under laparscopy should be done from simplicity to complicacy, and it is most effect by forceps of take stone method.

关 键 词：胆总管结石 腹腔镜 胆总管切开取石术 吸引器冲吸法 挤压取石法 胆道镜取石法 器械取石法 

分 类 号：R657.42[医药卫生—外科学]