摘要
目的改进腹腔镜胆总管探查（LCBDE）中取石技术及胆管缝合技术。方法对71例诊断明确或疑有胆总管结石（CBDS）的患者实施了LCBDE。术中均用枪式取石钳直接取石、连续缝合胆总管切口、缝线两端用钛夹固定而避免打结等技术,并联合使用胆道镜检查。结果 LCBDE获得成功62例（87.3%）。其中,行胆道一期缝合无＂T＂管引流32例。手术时间109~450（182±66）min,术中出血10~400（72±72）ml,术后住院3~28（10±5）d。并发胆漏6例（9.7%）、残留胆管结石2例（3.2%）。结论改进技术后,LCBDE易于操作。
Objective To improve the skills in removal of stones and in suture of bile duct incision during laparoscopic common bile duct exploration（LCBDE）.Methods Modified LCBDE was used in 71 cases with common bile duct stones（CBDS）.The modification included direct removal of stones with gun-type lithotomy forceps,no knot continuous suture of incision with ends clamping and biliary system inspection with choledochoscopy.Results LCBDE was successfully performed in 62 cases（87.3%）,of which bile duct incisions were primarily closed with no ＂T＂ tube drainage in 32 cases.The operation time ranged from 109 to 450（182±66）min,surgical bleeding 10-400（72±72）ml and the duration of hospital stay 3-28（10±5）days.Bile leakage was found in 6 cases（9.7%） and residual stones in 2 cases（3.2%）.Conclusion The improved procedure of LCBDE in our study makes the procedure of laparoscopic choledochotomy easier.
出处
《江苏医药》
CAS
CSCD
北大核心
2011年第4期465-467,共3页
Jiangsu Medical Journal
关键词
腹腔镜胆总管探查术
胆总管结石
Laparoscopic common bile duct exploration
Common bile duct stones
