腹腔镜胆总管探查术的临床应用体会(附36例报告)

目的:探讨腹腔镜胆总管探查术治疗胆石症的技术关键。方法:回顾性分析我院36例患者行腹腔镜胆总管探查术的临床资料。结果:36例患者中34例成功实施了腹腔镜胆总管探查术,其中胆总管Ⅰ期缝合8例,T管引流26例;中转开腹2例。术后发生胆漏2例。手术时间1～3h,术中出血30～100ml,住院时间5～14d。结论:腹腔镜胆总管探查术治疗胆石症安全可靠。

Clinical experiences of laparoscopic common bile duct exploration:a report of 36 cases

Objective:To study the clinical application of laparoscopic common bile duct exploration in treatment of choledocholithiasis.Methods:The data of 36 cases undergone laparoscopic common bile duct exploration were analyzed retrospectively.Results:Laparoscopic common bile duct exploration,was performed in 34 cases,primary suture was performed in 8 cases and T-tube drainage in 26 cases.Conversion to open surgery was made in 2 cases,2 cases suffered from bile leakage.The operative time was 1-3h,the intraoperative blood loss was 30-100ml,hospitalization were 5-14d.Conclusions:Laparoscopic common bile duct exploration is a safe method to treat gallstone concomitant with choledocholithiasis with the advantages of light pain,rapid recovery and short hospitalization.