CAJ | 학술논문

目的总结应用腹腔镜行胆总管切开取石加T管引流术治疗急性结石性胆管炎的临床经验.方法回顾性分析北京世纪坛医院普外科2007年3月至2011年7月间98例急性结石性胆管炎急诊行腹腔镜胆总管切开取石术的临床资料.结果 93例患者急诊施行腹腔镜胆总管切开取石加T管引流术,2例经胆囊管胆总管探查术,3例行胆总管探查置塑料内引流管胆道一期缝合术.98例手术顺利,无中转开腹,平均手术时间96 min,平均住院时间12d.术后主要并发症:残石8例,胆漏4例,腹腔出血1例,经保守方法治愈.结论对绝大多急性结石性胆管炎患者而言,急诊行腹腔镜胆总管切开取石加T管引流术是安全、有效、可行的.
목적 총결응용복강경행담총관절개취석가T관인류술치료급성결석성담관염적림상경험.방법 회고성분석북경세기단의원보외과2007년3월지2011년7월간98례급성결석성담관염급진행복강경담총관절개취석술적림상자료.결과 93례환자급진시행복강경담총관절개취석가T관인류술,2례경담낭관담총관탐사술,3례행담총관탐사치소료내인류관담도일기봉합술.98례수술순리,무중전개복,평균수술시간96 min,평균주원시간12d.술후주요병발증:잔석8례,담루4례,복강출혈1례,경보수방법치유.결론 대절대다급성결석성담관염환자이언,급진행복강경담총관절개취석가T관인류술시안전、유효、가행적.
Objective To sunmarize the clinical experience of emergency laparoscopic choledocholithotomy plus T-tube drainage for acute calculous cholangitis.Methods We retrospectively analyzed the clinical data of 98 cases with acute calculous cholangitis undergoing emergency laparoscopic choledocholithotomy between Mar 2007 to Jul 2011 at our hospital.Results In this study,93 cases with definite diagnosis of acute calculous cholangitis underwent at their acute stage totally laparoscopic choledocholithotomy and T-tube drainage,2 cases received laparoscopic transeystic common bile duct exploration and 3 cases were treated with primary closure of the common bile duct following laparoscopic common bile duct exploration and intra-bile duct stent.All procedures were successful without conversion to open surgery.The average of the operative time and the hospital stay was 96 minutes and 12 days respectively.The major complications included residual stones in 8 cases,bile leakage in 4 cases and intraperitoneal bleeding in I case.All were cured by conservative therapy.Conclusions For most patients of acute calculous cholangitis,emergency T-tube drainage after laparoscopic chuledocholithotomy is safe and effective.