腹腔镜胆总管探查取石术治疗细径胆总管结石148例
陈安平;赵聪;索运生;肖宏;陈先林;龙飞伍;刘安;王征夏
【期刊名称】《中华肝胆外科杂志》 【年(卷),期】2009(015)009
【摘要】Objective To summarize the experience in removal of stones from a tiny choledochus by laparoscopic common bile duct exploration (LCBDE). Methods From October 1993 to July 2008, there were 148 cases of cholelithiasis in tiny choledochus that common bile duct diameter was equal to 0. 4-0.8 cm undergoing LCBDE, involving choledochotomy,
choledochoscopic
exploration,
electro-hydralic
lithothipsy, ureteral catheter through cystic duct remnant for drainage of bile duct, T-tube drainage, the primary closure of duct incision. Results The procedure was successful in 116 out of the 148 cases and it was shifted to duodenoscopic papillotomy during the course of laparoscopy in 32 cases. No cases were shifted to open CBD exploration. No cases had residual stones. Bile leakage was cured with patent drainage in 7 cases. Three patients had slight pancreatitis postoperatively. Two pa-tients had bile duct stenosis of primary closure of duct incision. No cases had perforation of intestine and bile duct, bleeding, severe pancreatitis and death postoperatively. Conclusion If patients are suit-able, LCBDE is safe and effective in the hands of skilled endoscopiests.%目的 总结运用腹腔镜胆总管探查取石术治疗细径胆总管结石
腹腔镜胆总管探查取石术治疗细径胆总管结石148例
