摘要
目的初探腹腔镜结合胆道镜进行胆总管探查取石术的4trocar 位,切除胆囊后,经穿刺确认胆总管,然后在其前壁切开1.5～2.0cm的切口,以胆道镜探查并取净结石,直达胆道远端.放置T管,经右侧肋缘下锥孔引出.结果该组27例手术成功,1例中转开腹手术.平均术后6d出院.经造影,T管于术后15～21 d拔除.无并发症,无残余结石.结论腹腔镜结合胆道镜行胆总管探查取石术是一种创伤小、痛苦轻、恢复快、安全可靠的手术方法.
Objective: To explore the critical techniques of laparoscope common bile duct exploration and choledocholithotomy with the combination of laparoscope and choledochoscope. Methods: After conventional laparoscopic cholecystectomy, the common bile duct was made sure. Then a cut of 1.5~2.0 cm on the wall of it was made, after exploring it, all the stones were removed with the choledochoscope. The Vater′s papilla should be well passed. Finally leave a ″T″ duct as usual. Results: Of all the cases 27 cases were successful. And median hospital stay was 6 days. After cholangiography the T-duct was taken away when operation had been done for 15~21 days. And there were no concerning complications. Conclusion: Choledocholithotomy with laparoscope and choledochoscope is a security type of operation with small hurt and light sorrow and quick recovery.
出处
《中国内镜杂志》
CSCD
2004年第7期68-69,71,共3页
China Journal of Endoscopy
关键词
腹腔镜
胆道镜
胆总管结石
laparoscope
choledochoscope
stone in common bile duct
