腹腔镜联合胆道镜治疗胆总管结石38 例(1)
【摘 要】 目的: 探讨腹腔镜联合胆道镜在治疗胆总管结石中的临床应用。方法:回顾性分析38 例采用腹腔镜、胆道镜联合治疗的胆总管结石患者资料。结果:本组腹腔镜联合胆道镜行胆总管探查取石术成功率97.4%(37/38),1例中转开腹,1例术中探查胆总管未见结石,1例术后胆总管残留结石1枚,2例合并肝内胆管多发结石,均于术后6~8周经T管窦道行胆道镜取石。手术时间90～190min ,术中出血量10～200mL ,术后住院5～10d。结论:腹腔镜联合胆道镜治疗胆总管结石具有微创、安全、疗效肯定、并发症少、恢复快等优点。【关键词】 腹腔镜 胆道镜 胆总管结石
Treatment of 38 cases common bile duct stones by laparoscopic treatment of biliary tract mirror
Shi Shulong
【Abstract】 Objective:To evaluate the laparoscopic biliary tract surgery in the treatment of common bile duct stones in the clinical application. Methods:A retrospective analysis of 38 cases of laparoscopic biliary mirror the treatment of the common bile duct stones in patients with the information.Results:The laparoscopic biliary endoscope common bile duct exploration success rate of surgery 97.4% (37/38), 1 transit laparotomy, and 1 case of intraoperative bile duct exploration was no stone, 1 postoperative residual common bile duct stones 1, 2 cases with multiple intrahepatic bile duct stones, are 6 to 8 weeks after operation through the T tube sinus OK cholangioscopy stone. Operative time was 90~190min, blood loss 10~200mL, postoperative hospital stay 5~10d.Conclusion:The laparoscopic treatment of common bile duct stones with biliary mirror minimally invasive, safe, effective affirmative, less complications and faster recovery and so on. ......
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