摘要
目的探讨腹腔镜辅助下经腹壁小切口胆总管切开探查、取石的可行性。方法腹腔镜下完成胆囊切除,用腹腔镜进行胆总管定位,在对应部位做腹壁小切口。经此切口进行胆总管切开探查、取石。结果12例中11例成功,1例中转开腹手术。手术时间80～150min,平均110min。每例取出结石1～4枚,最大结石2.0×1.5cm。结石均一次取净。术后3～4周造影证实胆道无残余结石。随诊2～22个月,无胆管残余结石和胆管炎发作。结论腹腔镜辅助下经腹壁小切口胆总管切开探查取石可行,易于在基层医院普及。
Objective To investigate the feasibility of laparoscopic - assisted small incision exploration and stone extraction for the treatment of common bile duct stones. Methods Following the laparoscopic cholecystectomy , the location of the common bile duct was determined under laparoscope. A small abdominal incision was made at the corresponding site and the exploration of common bile duct and extraction of stones were conducted via the incision. Results Among a total of 12 cases , the operation was successfully accomplished in ii cases and a conversion to open surgery was required in 1 case. The operative time was 80～150 min （mean , 110min） . The number ofextracted stones per case was 1～4 , with the maximum size of 2.0×1.5 cm. All the stones were removed on one session. Postoperativecholangiography 3～4 weeks after the surgery indicated no residual stones. Follow - up for 2～22months, showed noresidual stones or occurrence of cholangitis. Conclusions Laparoscopic - assisted small incision exploration and stone extraction for common bile duct stones is feasible , being readily to popularize in basic hospitals.
出处
《国际医药卫生导报》
2006年第12期42-43,共2页
International Medicine and Health Guidance News
关键词
腹腔镜
腹壁小切口
胆总管结石
Laparoscopy Small abdominal incision Common bile duct stone
