摘要
目的 探讨腹腔镜治疗肝内外胆管结石效果。 方法 在腹腔镜下切开胆总管用纤维胆道镜取石 ,胆总管内置入T管 ,缝合胆总管切口。 结果 2 10例腹腔镜手术全部成功 ,手术时间 80～ 2 30min。术后腹腔引流管引流出胆汁 6例 ,十二指肠损伤 1例 ,腹腔残石致引流管口形成脓肿 1例 ,胆道残石 10例 ,术后经T管窦道纤维胆道镜取石后治愈 ,从T管引流出钛夹 2例。术后第 2天进流质饮食并下床活动 ,平均住院 5天 ,带T管出院。 结论 该手术扩大了腹腔镜胆囊切除术适应证 ,具有创伤小、恢复快、住院短等优点 ,是治疗胆囊结石并胆总管结石尤其是胆总管大结石的有效方法。
Objective To explore the effect of laparoscopic choledocholithotomy and T tube drainage (LCTD) in the treatment of intrahepatic or extrahepatic bile duct caculus. Methods Two hundred ten cases with biliary calculus were treated with laparoscopy. The common bile duct (CBD) was incised, the calculuses were taken out with biliary fiberendoscopy, then the T tube was put into the CBD and the incision of the CBD was sutured. Results All cases were operated successfully. The span of operation time was 80-230 min. The patients were able to take food and walk on the second day after the operation. The average length of postoperative stay was 5 days. The complications included biliary fistula (n=6), injury of the duodenum (n=1), abscess of drainage tube orifice (n=1), titanium clip draining out from the T tube (n=2), and retained CBD stones (n=10). The patients with retained CBD stones were cured with the biliary fiberendoscope. Conclusion LCTD is a safe procedure with the advantages of short hospital stay, mild injury and rapid recovery. It is an effective method in the treatment of gall stones combined with calculus of the CBD.
出处
《中国现代手术学杂志》
2000年第4期253-255,共3页
Chinese Journal of Modern Operative Surgery
