摘要
目的:评价腹腔镜联合纤维胆道镜治疗胆总管结石的临床疗效。方法:对64例胆总管结石病人在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后一期缝合或T管引流,并观察疗效。结果:64例均获成功,手术时间平均135 min,出血少,无手术并发症。34例胆总管一期缝合,30例T管引流。结论:腹腔镜联合纤维胆道镜治疗胆总管结石具有安全有效、创伤小、术后恢复快等优点,但应根据病人的具体情况确定行一期缝合或T管引流。
Objective:To evaluate the treatment effect of choledocholithiasis treated by laparoscopy combined with choledocoscopy.Methods:64 patients with choledocholithasis were treated by choledochotomy and cholecystectomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tabe drainage.Results: The average operative time was 135 min,with low blood loss and without operation-related complications.34 cases were treated by drainage with T-shaped-tabe and 30 cases were treated by one-stage suture.Conclusions:Treatment of choledocholithiasis with laparoscopy combined with choledocoscopy is safe and effective with less trauma.Whether choosing one-stage suture or T-shaped-tabe should be determined by the patient's condition.
出处
《岭南急诊医学杂志》
2010年第4期296-297,共2页
Lingnan Journal of Emergency Medicine
关键词
腹腔镜
纤维胆道镜
胆总管结石
手术治疗
laparoscopy
choledocoscopy
choledocholith
surgical treatment
