腹腔镜联合胆道镜行胆总管切开取石术18例临床分析

目的探讨腹腔镜联合胆道镜行胆总管切开取石术的技巧和I艋床经验及教训。方法回顾总结2008年1月至2009年10月经腹腔镜联合胆道镜胆总管切开取石术的的临床资料。结果18例手术均获成功，手术时间100～240min，出血量50～100ml，未中转进腹，18例均行T管引流；术中、术后无胆漏等并发症发生。结论腹腔镜联合胆道镜胆总管探查取石术具有创伤小、恢复快、住院时间短的优点，治疗胆总管结石安全、有效。

Laparoscope combined with choledochoscope in choledochotomy for stone removal and clinical analyse for 18 cases

Objective To discuss techniques and clinical experience and lesson of laparosocopy combined with choledochosopy in choledocholithotomy. Methods A retrospective analysis was performed of clinical data on 18 patients choledochlithiasis that were treated with laparoscopic common bile duct exploration and stone removal with choledochosopy from January 2008 to October 2009 at our hospital. Results The laparosocopic operation was successfully completed inl2 patients ;The operation duration was 100 -240 minutes ; the intraoperative blood loss was 50 - 100 ml ; No one case were converted to open operation; 18 cases needed T- tube insertion; 18 cases were healed without any complications such as bile leak. Conclusion Laparoscopy combined with choledochoscopy for choledocholithotomy has the advantage of less invasion, rapid recovery and shorter hospitalization. It is a safe and effective method for bile duct stones.