摘要
目的 :探讨腹腔镜联合纤维胆道镜治疗肝内外胆管结石的可行性及临床应用价值。方法 :于腹腔镜下行胆总管切开联合纤维胆道镜探查取石术 ,Ⅰ期缝合胆总管或胆总管T管引流 ,有残余结石者再经T管窦道行纤维胆道镜取石 ,共治疗肝内外胆管结石 13例。结果 :13例手术均获成功 ,无中转开腹手术 ,除 1例术后胆瘘经保守治疗治愈外全组无严重并发症发生 ,术后 2例胆道残余结石经门诊胆道镜取净 ;术中患者创伤小 ,出血少 ,术后康复快 ,平均住院时间短。结论 :腹腔镜联合纤维胆道镜治疗肝内外胆管结石是一种微创、安全、可靠、有效的新技术 ,只要掌握适应证 。
Objective:To investigate the feasibilities and clinical values of laparoscopy and choledochoscopy in the treatment of cholelithiasis.Methods:13 patients with intra-and extrahepatic bile duct stones were performed laparoscopic choledocholithotomy with the fiber-choledochoscopy.The common bile duct was primary sutured or left a T tube.The residual stones should be extracted 4-6 weeks later through the T tube tract.Results:All the cases got successful result .No one was converted to open operation.By this operation,patients had small incision,little hemorrage,and they could recover quickly.Conclusions:Laparoscopy with choledochoscopy in treating intra-and extrahepatic bile duct stones is safe,reliable and minimally invasive.
出处
《腹腔镜外科杂志》
2002年第4期213-215,共3页
Journal of Laparoscopic Surgery
