摘要
目的总结腹腔镜联合术中胆道镜、十二指肠镜治疗胆囊结石并胆总管结石的方法及临床意义。方法我院2007年1月至2008年12月期间采用腹腔镜联合术中胆道镜、十二指肠镜治疗胆囊结石并胆总管结石患者42例,在全麻下行腹腔镜胆囊切除并切开胆总管前壁,以术中胆道镜联合十二指肠镜取净胆总管结石,一期缝合胆总管,并放置鼻胆管引流。结果本组42例患者中1例中转开腹手术,41例成功,术后5～7d拔管出院,无手术死亡病例,无术后漏胆、上消化道出血、穿孔及急性胰腺炎发生。结论腹腔镜联合术中胆道镜、十二指肠镜治疗胆囊结石并胆总管结石,是一种创伤小、恢复快及安全可靠的方法。
Objective To investigate the method of the treatment on cholecystolithiasis combined with calculus of common bile duct （CBD） by laparoscopy with combination of choledochoscope and duodenoscope and its significances.Methods Forty-two patients with cholecystolithiasis combined with calculus of CBD were treated by laparoscopy with combination of choledochoscope and duodenoscope from Jan.2007 to Dec.2008 in this hospital.Under general anesthesia,laparoscopic cholecystectomy was performed first,then the anterior wall of CBD was opened,calculus of CBD was treated by choledochoscope and duodenoscope intraoperatively.Then primary suture of the CBD was performed under laparoscope and nasobiliary drainage duct was placed.Results One case was converted to laparotomy,41 cases succeeded and left hospital after being taken off the nasobiliary drainage duct in 5-7 d.No case died,no bile leakage,no bleeding or perforation of upper digestive tract,and no acute pancreatitis happened after operation.Conclusion Laparoscopy with combination of choledochoscope and duodenoscope treating cholecystolithiasis combined with calculus of CBD is a safe,effective and quickly recovering method with less sufferings and trauma.
出处
《中国普外基础与临床杂志》
CAS
2010年第4期323-325,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹腔镜
胆道镜
十二指肠镜
胆囊结石
胆总管结石
Laparoscope
Choledochoscope
Duodenoscope
Cholecystolithiasis
Calculus of common bile duct
