| 腹腔镜下经纤维胆道镜治疗肝内外胆管结石的体会(附730例报告) |
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| 引用本文： | 邵明远,王泓,蒋波,郭和,李东生.腹腔镜下经纤维胆道镜治疗肝内外胆管结石的体会(附730例报告)[J].腹腔镜外科杂志,2010,15(6):476-478. |
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| 作者姓名： | 邵明远 王泓 蒋波 郭和 李东生 |
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| 作者单位： | 1. 四川省科学城医院,四川,绵阳,621900
2. 凉山州中西医结合医院 |
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| 摘 要： | 目的:探讨腹腔镜联合纤维胆道镜及液电碎石术治疗肝内、外胆管结石的临床应用价值。方法:回顾分析730例腹腔镜胆道手术中经胆囊管残端、胆总管切开及术后经"T"管窦道行纤维胆道镜下取石、液电脉冲碎石的临床资料。结果:346例一次性取净胆总管内结石,占47.4%;31例一次性取净左、右肝内胆管结石,占19.5%。术后经"T"管窦道纤维胆道镜取石、液电碎石治疗后全部治愈。术后胆漏3例,出血17例,无死亡病例及中转开腹。结论:腹腔镜联合纤维胆道镜、液电碎石术治疗肝内、外胆管结石符合微创、安全、可靠、有效的原则,腹腔镜下纤维胆道镜操作技术是治疗肝内、外胆管结石的关键。
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| 关 键 词： | 胆结石 腹腔镜检查 胆道镜检查 碎石术 |
Experience of fibrocholedochoscopic treatment for extrahepatic and intrahepatic bile duct calculus under laparoscopy:with a report of 730 cases |
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| SHAO Ming-yuan,WANG Hong,JIANG Bo,et al..Experience of fibrocholedochoscopic treatment for extrahepatic and intrahepatic bile duct calculus under laparoscopy:with a report of 730 cases[J].Journal of Laparoscopic Surgery,2010,15(6):476-478. |
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| Authors: | SHAO Ming-yuan WANG Hong JIANG Bo |
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| Institution: | SHAO Ming-yuan1,WANG Hong1,JIANG Bo2,et al.1.Hospital of Sichuan Province Science City,Mianyang 621900,China,2.Liangshanzhou Hospital of Integrated Traditional and Western Medicine |
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| Abstract: | Objective:To investigate the clinical application value of laparoscopy combined with fibrocholedochoscope and electrohydraulic lithotripsy in treatment of extrahepatic and intrahepatic bile duct calculus.Methods:The clinical data of 730 cases that underwent laparoscopic bile duct surgery were retrospectively analyzed.The fibrocholedochoscope entered through bile duct stump,incision of the common bile duct during operation or T tube sinus tract after surgery to remove calculus and electrohydraulic lithotrips... |
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| Keywords: | Cholelithiasis Laparoscopy Choledochoscopy Lithotripsy |
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