腹腔镜胆总管切开取石的临床应用研究
腹腔镜,,腹腔镜；胆道镜检查；胆总管结石,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨腹腔镜纤维胆道镜胆总管切开配合取石(LCDE)的安全性。方法：回顾分析胆囊、胆总管结石合并阻塞性胆管炎15例，其中合并肝内胆管结石3例，以及单纯胆囊结石合并急性阻塞性胆管炎3例的临床资料。18例术前均经影像学检查包括BUS、CT、MR或MRCP，在全身麻醉下行腹腔镜手术。结果：全组均成功完成手术，无中转手术，术中无大出血，无胆管损伤。术后胆漏2例。手术时间90～200min,平均125min，术后5例有胆道残余结石，用纤维胆道镜取尽。结论：腹腔镜胆总管切开取石安全可靠，手术创伤小且并发症少。【关键词】腹腔镜；胆道镜检查；胆总管结石
A study of the laparoscopic choledocholithotomy and its clinical application
XIE Zhaoxiong,XU Gouping,HUANG Zhentian，et al.
Chaozhou Centeral Hospital,Chaozhou 521000,China
【Abstract】Objective:To assess the safety of the laparoscopic choledocholithotomy combined fibercholedochoscopy in operation.Methods: The data of 15 cases of cholelithiasis complicating obstructive cholangitis,including 3 cases with hepatolithiasis,and 3 cases of cholecysto lithiasis complicating acute obstructive cholangitis were retrospectively analyzed.The preoperative image examination includined BUS、CT、MR or MRCP and all the cases were treated by laparoscopy.Results:All the laparoscopic operations were performed successfully without conversion to open operation,serious bleeding and bile duct injury,while bile leakage occurred in 2 cases.The operative time ranged from 90 to 200 minutes and the average time was 125 minutes.5 cases had residual stones,treated by fibercholedochoscopy postoperatively.Conclusions: The laparoscopic bile duct exploration is safe with less trauma and complications. ......
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