目的 总结腹腔镜联合纤维胆道镜治疗胆总管结石的临床效果,扩大腹腔镜手术治疗的范围.方法 回顾性分析12例行腹腔镜胆总管切开探查、胆道镜取石、T管引流术(LCTD))患者的临床资料.结果 12例患者,手术成功11例,平均手术时间180min,中转开腹1例,均留置T管.术后笫1天可下床活动和进食,术后4～6周T管造影拔管,未出现胆汁漏、胆道狭窄、胆道出血和残余结石等手术并发症.结论 腹腔镜胆总管探查术具有痛苦小、损伤轻、恢复快、腹腔脏器干扰少等优点,同时又能取得与开腹手术相同的治疗效果.%Objective To sum up the experiences of laparoscopy combined with fibercholedochoscope for treatment of choledocholithiasis and expand the scope of laparoscopic operation. Methods The clinical data of 12 patients were analyzed. Results Of 12 patients. 11 case were successfully performed. The average operation time was 180 minutes. One case changed from fibercholedochoscopy to laparotomy. T-tube was indwelled in choledochus in all patients. Patients could move of bed and ingest on the first day after operation. T-tube could be withdrawn in four～six weeks after operation. No post-operative complications, such as bile leakage, stenosis of the biliary tract, hematobilia and residual stone were reported. Conclusion The laparoscopic choledochotomy has many advantages, such as less suffering, mild damage, rapid recovery and lessdysfunction of visceral organs, and can achieve the same effects as lapamtomy.
展开▼
