中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2010年
4期
421-423
,共3页
蔺正印%李曙光%张国志%贺房勇%李会利%陈建立
藺正印%李曙光%張國誌%賀房勇%李會利%陳建立
린정인%리서광%장국지%하방용%리회리%진건립
腹腔镜%胆道镜%胆总管结石
腹腔鏡%膽道鏡%膽總管結石
복강경%담도경%담총관결석
Laparoscopy%Choledochoscope%Common bile duct calculi
目的 探讨腹腔镜联合胆道镜治疗胆总管结石的手术方法,评价其手术安全性及Ⅰ期缝合胆总管的可行性.方法 对华北煤炭医学院附属医院2002年至2009年收治的51例胆总管结石患者,行腹腔镜胆道镜手术,切除胆囊,探查胆总管,切开取石,部分患者Ⅰ期缝合胆总管,部分患者留置T形管,Ⅱ期T管造影后去管.结果 51例中转开腹1例,Ⅰ期缝合胆总管26例;留置T形管24例,其中残余结石2例,均痊愈出院.结论 恰当的病例选择后,腹腔镜胆道镜联合治疗胆总管结石、Ⅰ期缝合胆总管不失为一种安全有效治疗胆总管结石的方法.
目的 探討腹腔鏡聯閤膽道鏡治療膽總管結石的手術方法,評價其手術安全性及Ⅰ期縫閤膽總管的可行性.方法 對華北煤炭醫學院附屬醫院2002年至2009年收治的51例膽總管結石患者,行腹腔鏡膽道鏡手術,切除膽囊,探查膽總管,切開取石,部分患者Ⅰ期縫閤膽總管,部分患者留置T形管,Ⅱ期T管造影後去管.結果 51例中轉開腹1例,Ⅰ期縫閤膽總管26例;留置T形管24例,其中殘餘結石2例,均痊愈齣院.結論 恰噹的病例選擇後,腹腔鏡膽道鏡聯閤治療膽總管結石、Ⅰ期縫閤膽總管不失為一種安全有效治療膽總管結石的方法.
목적 탐토복강경연합담도경치료담총관결석적수술방법,평개기수술안전성급Ⅰ기봉합담총관적가행성.방법 대화북매탄의학원부속의원2002년지2009년수치적51례담총관결석환자,행복강경담도경수술,절제담낭,탐사담총관,절개취석,부분환자Ⅰ기봉합담총관,부분환자류치T형관,Ⅱ기T관조영후거관.결과 51례중전개복1례,Ⅰ기봉합담총관26례;류치T형관24례,기중잔여결석2례,균전유출원.결론 흡당적병례선택후,복강경담도경연합치료담총관결석、Ⅰ기봉합담총관불실위일충안전유효치료담총관결석적방법.
Objective To study the operation safety and method of laparoscopy combined with choledochoscope in exploration and extraction of the common bile duct calculi and the effects of CBD incision suture.Methods Fifty-one patients with common bile duct calculi were performed with the operation of laparoscopy combined with dochoscope in exploration and extraction of the common bile duct.They were detained with T tube or without T tube.CBD incision was sutured without T tube.T tube was removed after radiography in two weeks.Results 1 of 51 cases were converted to open surgery.CBD incision of 26 cases was sutured without T tube.24 cases were detained with T tube.2 of 24 cases had fetained common bile duct calculi,they all recovered.Conciusions Laparoscopy combined with choledochoscope is an effective.safe approach.CBD incision sutured without T tube after appropriate cases were selected.Application of this approach will recommended.
