摘要
目的探讨在腹腔镜下经胆囊管途径治疗胆总管下段较大结石的手段。方法 18例术前诊断为胆囊结石继发胆总管下端较大结石(≥1.5 cm)的患者,不切开胆总管,采取腹腔镜下经胆囊管途径,行U-100碎石后,再将胆总管结石取出的方法。结果手术均获得成功,无1例中转开腹,术中出血30～80 mL,住院天数4～6 d。结论结合采用U-100碎石技术,可提高腹腔镜下经胆囊管胆总管取石术的取石成功率。
[ Objective ] To explore the effective way of treating the choledocholithiasis （radius ≥ 1.5em） via cystic duct by laparoscopy. [ Method ] Eighteen patients were diagnosed as secondary choledocholithiasis preoperatively （radius≥ 1.5 cm）. Lithoclasty by U-100 was performed, and then the stones were extracted by laparoscopic transcystic common bile duct exploration （LTCBDE）. [Result] All patients were successfully treated by LTCBDE with U- 100. The volume of blood loss was 30-80 mL, and the days of hospitalization were similar with that of laparoscopic cystectomy. [ Conclusion ] It is a promising way to treat choledocholithiasis （radius ≥1.5 cm） by combined use of LTCBDE and U-100.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第2期163-165,共3页
China Journal of Endoscopy
关键词
腹腔镜
胆道镜
U-100
经胆囊管
胆总管探查术
laparoscopy
bcholedocholithiasis
U-100
trans-cystic duct
common bile duct exploration
