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 2 0 0 0年 9月～ 2 0 0 2年 3月 ,10例肝内外胆管结石采用腹腔镜下胆总管切开联合纤维胆道镜探查取石。I期缝合胆总管或胆总管T管引流。 结果 手术均获成功 ,无中转开腹。除 1例术后胆漏经保守方法治愈外 ,其余无并发症发生。术后 2例胆道残余结石 ,经门诊胆道镜取净残余结石。 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 ,但应掌握好适应证。
Objective To investigate the feasibility and clinical value of laparoscope combined with choledochoscope in the treatment of intra- and/or extrahepatic bile duct cholelithiasis. Methods 10 patients with intra- and/or extrahepatic bile duct stones underwent common bile duct incision exploration to remove stones under laparoscope combined with fiber-choledochoscope from September 2000 to March 2002. Common bile duct was directly sutured or T-tube drainage was performed. Results All cases were operated on successfully without conversion to open operation. There was no serious complication except 1 case of postoperative bile leakage cured by conservative treatment. The residual stones of 2 cases were removed by choledochoscope. Conclusions Laparoscope combined with choledochoscope in the management of intra- and/or extrahepatic bile duct stones is a safe, reliable and minimally invasive procedure. However, it is important to choose indications.
出处
《中国微创外科杂志》
CSCD
2003年第1期63-64,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
肝内外胆管结石
腹腔镜
纤维胆道镜
适应证
Intra- and/or extrahepatic bile duct stones Cholelithiasis Laparoscope Choledochoscope
