| 腹腔镜联合胆道镜治疗胆囊结石并胆总管结石 |
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| 引用本文： | 薛瑞华,欧阳才国,张利刚,姚宝福,吴振宇,许大彬,金昌国. 腹腔镜联合胆道镜治疗胆囊结石并胆总管结石[J]. 腹腔镜外科杂志, 2010, 15(6): 474-475. DOI: 10.3969/j.issn.1009-6612.2010.06.028 |
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| 作者姓名： | 薛瑞华 欧阳才国 张利刚 姚宝福 吴振宇 许大彬 金昌国 |
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| 作者单位： | 北京大学航天临床医学院航天中心医院,北京,100049;北京大学航天临床医学院航天中心医院,北京,100049;北京大学航天临床医学院航天中心医院,北京,100049;北京大学航天临床医学院航天中心医院,北京,100049;北京大学航天临床医学院航天中心医院,北京,100049;北京大学航天临床医学院航天中心医院,北京,100049;北京大学航天临床医学院航天中心医院,北京,100049 |
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| 摘 要： | 目的:探讨分析腹腔镜联合胆道镜治疗胆囊结石并胆总管结石的方法。方法:我院2008年3月至2009年12月收治26例胆囊结石并胆总管结石患者,腹腔镜胆囊切除术中切开胆囊管或胆总管,行纤维胆道镜胆总管取石术。结果:26例患者均按常规行腹腔镜胆囊切除术,12例行胆囊管切开取石术,胆总管未放置T管;14例行胆总管切开取石术,其中8例未放置T管,行一期缝合,6例胆总管内放置T管,术后6~8周行纤维胆道镜检查,2例发现残余结石,并取净,4例未发现胆总管残余结石,再次行胆道造影后未发现结石,拔除T管。所有病例均无并发症发生。结论:腹腔镜胆囊切除联合纤维胆道镜取石术治疗胆囊结石并胆总管结石,患者创伤小,康复快,安全有效。术中不能取净胆总管结石者,术后可通过T管窦道行纤维胆道镜取石。
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| 关 键 词： | 胆囊结石病 胆总管结石 腹腔镜检查 胆道镜检查 |
Laparoscopy combined with choledochoscopy for common bile duct and gallbladder stone |
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| XUE Rui-hua,OUYANG Cai-guo,ZHANG Li-gang,et al.. Laparoscopy combined with choledochoscopy for common bile duct and gallbladder stone[J]. Journal of Laparoscopic Surgery, 2010, 15(6): 474-475. DOI: 10.3969/j.issn.1009-6612.2010.06.028 |
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| Authors: | XUE Rui-hua OUYANG Cai-guo ZHANG Li-gang et al. |
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| Affiliation: | XUE Rui-hua,OUYANG Cai-guo,ZHANG Li-gang,et al.The Central Hospital of China Aerospace Corporation,Beijing 100049,China |
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| Abstract: | Objective:To investigate the method of laparoscopy combined with choledochoscopy on common bile duct(CBD) stones and gallbladder stone.Methods:Twenty-six patients of gallbladder stone companied with CBD stones from Mar.2008 to Dec.2009 underwent laparoscopic cholecystectomy(LC) and choledochoscopic common bile duct cholelithotomy through incision on the bile duct or common bile duct.Results:Twenty-six cases were performed LC routinely,12 cases underwent ductus cysticus lithotomy,without T tube.14 cases unde... |
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| Keywords: | Cholecystolithiasis Choledocholithiasis Laparoscopy Choledochoscopy |
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