CAJ | 학술논문

目的探讨胆囊管扩张术在腹腔镜联合胆道镜胆道探查中的应用.方法 70例胆囊结石合并胆总管继发结石患者在行腹腔镜胆囊切除的同时经胆囊管行胆总管探查术,术中39例采用球囊扩张器和专用胆囊管扩张器行胆囊管扩张术.对照组为31例胆囊管已经有明显扩张未行胆囊管扩张术的患者.结果胆囊管扩张组39例中,术后1例胆漏,1例胆囊管撕裂,经保守处理痊愈.非胆囊管扩张组1例术后动脉夹脱落出血行腹腔镜探查治愈,未出现胆漏.扩张组术后3 d平均腹腔引流为(60±11)mL,非扩张组为(55±8)mL,两组比较无显著性差异(P>0.05).两组术后随访病例3个月复查B超未发现胆道残余结石.结论胆囊管扩张术是建立经胆囊管腹腔镜胆道探查术胆道镜通道的简单安全的方法,为部分胆总管继发结石治疗提供良好的通道.
목적 탐토담낭관확장술재복강경연합담도경담도탐사중적응용.방법 70례담낭결석합병담총관계발결석환자재행복강경담낭절제적동시경담낭관행담총관탐사술,술중39례채용구낭확장기화전용담낭관확장기행담낭관확장술.대조조위31례담낭관이경유명현확장미행담낭관확장술적환자.결과 담낭관확장조39례중,술후1례담루,1례담낭관시렬,경보수처리전유.비담낭관확장조1례술후동맥협탈락출혈행복강경탐사치유,미출현담루.확장조술후3 d평균복강인류위(60±11)mL,비확장조위(55±8)mL,량조비교무현저성차이(P>0.05).량조술후수방병례3개월복사B초미발현담도잔여결석.결론 담낭관확장술시건립경담낭관복강경담도탐사술담도경통도적간단안전적방법,위부분담총관계발결석치료제공량호적통도.
Objective To study the application of cyctic duct dilatiion in bile duct exploration through the cystic duct by laparoscope combined with choledochoscope.Methods LC + laparoscopic transcyctic common bile duct exploration were performed in gallstones combined choledocholithiasis in 70 cases.The dilation of cyctic duct was performed by gas-baloon or metal dilator in 39 cases.The dilation of cyctic duct was not performed in 31 cases.Results There was one case of bile leakage and one case of cystic duct damaging in cystic duct dilation group.One case was found bleeding in abdomen postoperation in non-dilation group.Abdominal drainage was(60 ±11)mL and(55 ±8)mL in dilation group and non-dilation group,respectively.Conclusions The dilation of cyctic duct is simple and safe to create the tunnel for common bile duct exploration through the cystic duct by choledochoscope.