The design and performance of laparoscopic video biliary operations

摘要

AIMS To explore and enlarge the application range of laparoscopic video technology in biliary surgery. METHODS Since November 1992, laparoscopic video choledocholithotomy T-tube drainage (LCTD) for 45 cases and laparoscopic video choledochoje-junostomy (LCJS) for 5 cases have been designed and performed with its indications and the main technical procedures presented. RESULTS The procedures of LCTD for 45 cases were successful. One patient with sustained biliary leakage and one patient with sustained residual chole-docholith were perfectly cured. The procedures of LCJS for 5 cases were also successful and all the patients soon recovered without any complications. CONCLUSIONS The results show that LCTD and LCJS are characterized by minor trauma, less sufferings, fast postoperative recovery, good curative effect and hence are worth popularizing and applying. The designed and performed laparoscopic video biliary operations are not only in conformity with the biliary surgical therapeutic principle, but also easy to operate, economic, practical and convenient for performance.