摘要
目的 :探讨腹腔镜胆总管探查术在临床的应用价值。方法 :运用腹腔镜结合胆道镜的微创方法治疗 3 1例胆总管结石 ,同期行开腹胆总管探查术 48例。结果 :腹腔镜组手术与开腹组手术均获成功 ,腹腔镜组除 1例因结石嵌顿采用小切口取出结石外 ,其余病例均在镜下完成。两组均无残留结石及严重并发症。两组手术时间相近 ,但腹腔镜组住院时间明显缩短。结论 :腹腔镜联合胆道镜治疗胆总管结石优于传统手术 ,在具备较高腹腔镜技术水平的条件下是安全可行的 。
Objective To investigate the appilication of laparoscopic choledocholithotomy.Methods Laparoscopy and choledochoscopy were performed in 31 patients with common bile duct stones,while the other 48 patients with common bile duct stones received open surgery.Results All patients obtained stone clearance successfully.Laparoscopy was performed successfully in laparoscopy group except 1 case receiving mini-incision operation due to stone incarceration.Neither residual stone nor serious complications occured in both two groups. Operation time was similar in two groups.Hospitalization day in laparoscopy group was obviously shorter than that of open surgery.Conclusion Laparoscopy combined choledochoscopy is superior to open surgery.It is safe to sophisticated endoscopists,and could substitute some open choledocholithotomy. [
出处
《实用诊断与治疗杂志》
2003年第4期267-268,共2页
Journal of Practical Diagnosis and Therapy
