摘要
目的:探讨腹腔镜联合胆道镜治疗胆总管结石的疗效。方法:回顾分析我科2014年3月~2017年6月行腹腔镜联合胆道镜治疗的40例胆总管结石患者的临床资料。结果:40例全部行腹腔镜联合胆道镜胆总管探查取石。取石成功率100%,全部T管引流,中转2例,术后残留结石5例,平均手术时间(150±20)min,平均出血量(60±5)m L,术后腹腔引流时间为4~6 d;术后平均(24±2)h即可进食,平均(2±0.5)d可下床活动,平均(8±2)d即可出院。结论:腹腔镜联合胆道镜治疗胆总管结石是一种微创、安全高效、价格相对低廉的治疗方法,尤其适合伴有胆囊结石的病例。
Objective：To assess the efficacy of laparoscopy combined with choledochoscopy in the treatment of common bile duct stones.Methods：Retrospective analysis was performed in 40 cases of choledocholithiasis treated by laparoscopy with choledochoscopy in our department between March 2014 and June 2017.Results：Success tate for stone removal was 100% （40/40）, and all patients received postoperative T-tube drainage.Two patients required conversion to laparotomy. Residual stones occurred in 5 cases.The average operative time and blood loss were （ 150 ± 20） min and （60 ± 5 ） mL, respectively. Postoperative abdominal drainage ranged from 4 to 6 d.Postoperative mean resume of food-lntake as well as off-bed activity and discharge was （24± 2 ） h, （ 2± 0.5 ） d and （ 8± 2） d, respectively.Conclusion ： Laparoscopy combined with choledoehoscopy can be minimally invasive, safe, efficient and cost-effective in the treatment of choledocholithiasis,especially in cases of gallstones.
出处
《皖南医学院学报》
CAS
2018年第1期42-44,共3页
Journal of Wannan Medical College
关键词
胆总管结石
腹腔镜
胆道镜
choledocholithiasis
laparoscopy
choledochoscopy
