腹腔镜联合胆道镜、FREDDY激光治疗肝内胆管结石的临
床体会
张道建;庄建民;纪程宏;颜松龄;徐文军;徐志鹏;王华斌
【期刊名称】《腹腔镜外科杂志》 【年(卷),期】2013(018)003
【摘要】Objective: To investigate the clinical efficacy and value of laparoscopy combined with choledochoscopy and FREDDY laser in the treatment of intrahepatic bile duct calculi. Methods:The clinical data of 104 patients with itrahepatic bile duct calculi were retrospectively analyzed. There were 57 cases in laparoscopic group and 47 cases in open group. Operative time, intraoperative blood-loss, time of first flatus, incidence of incision infection, severe complications (e. g. biliary tract hemorrhage, serious bile leakage) , postoperative hospital stay, one-stage calculi clearance rate and overall rate of bile duct clearance were compared between 2 groups. Results:Laparoscopic group experienced less intraoperative blood-loss [ (51.2 ±15.2) ml] ,earlier first flatus [(22.2 ± 5. 5) h] , lower incision infection rate (1.8%) ,higher one-stage calculi clearance rate (73. 7% ) and shorter hospital stay [(6.1 ± 1.3) d] than those in open group [ ( 112. 5 ±26. 7) ml, (32. 6 ±9. 6) h,12. 8% ,55. 3% , ( 10. 0 ±2. 3) d] (P <0. 05). There were no statistically significant differences in operative time, overall calculi clearance and incidence of severe complications between the two groups ( P > 0. 05).
腹腔镜联合胆道镜、FREDDY激光治疗肝内胆管结石的临床体会
