腹腔镜胆道再次手术的临床探讨  

Clinical investigation of laparoscopic biliary re-operations

作　　者：熊沛[1] 彭毅[1] 周晓初[1] 叶建宇[1] 张风涛[1] 钟立明[1] 尹耀新[1] 巴磊[1] 周汉新 

机构地区：[1]北京大学深圳医院腔镜外科中心,深圳518036 [2]深圳市人民医院,深圳518036

出　　处：《中国微创外科杂志》2003年第4期331-332,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨腹腔镜胆道再次手术的可行性及方法。　方法　应用腹腔镜治疗有胆道手术史的胆道结石患者 13例。　结果　腹腔镜下完成胆总管切开取石术 12例 ,中转开腹 1例 ,成功率 92 3% (12 13)。手术时间 (10 1～ 30 0 )min ,平均15 5min。所有病例无术中及术后并发症。　结论　腹腔镜胆道再次手术可行 ,但对手术医生的技术要求较高。Objective To investigate the feasibility and techniques of laparoscopic biliary re-operations. Methods Laparoscopic surgery was performed in 13 patients with bile duct stones who already had undergone biliary tract operations. Results Laparoscopic choledochotomy was successfully completed in 12 cases, while a conversion to open surgery was required in 1 case. The success rate of laparoscopic surgery was 92.3% (12/13). The operation time was (101～300) min, with a mean of 155 min. No intra- or post- operative complications occurred. Conclusions Laparoscopic biliary re-operations are feasible and experiences are needed to ensure the success of surgery.

关 键 词：腹腔镜 胆总管切开术 再次手术 

分 类 号：R657.4[医药卫生—外科学]