| 腹腔镜下经胆囊管胆总管汇合处切开治疗胆总管结石 |
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| 引用本文： | 尚培中,李晓武,贾国洪,李永庆,苗建军,南润玲,刘伟. 腹腔镜下经胆囊管胆总管汇合处切开治疗胆总管结石[J]. 中华普外科手术学杂志(电子版), 2011, 5(2): 26-28. DOI: 10.3877/cma.j.issn.1674-3946.2011.02.032 |
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| 作者姓名： | 尚培中 李晓武 贾国洪 李永庆 苗建军 南润玲 刘伟 |
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| 作者单位： | 解放军第二五一医院普通外科,河北张家口,075000 |
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| 基金项目： | 河北省科技支撑计划项目 |
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| 摘 要： | 目的探讨腹腔镜经胆囊管胆总管汇合处切开治疗胆总管并发结石的可行性。方法对187例患者,术中应用CB30L超细胆道镜确诊183例,胆道造影确诊4例,均再经胆囊管胆总管汇合处切开胆总管侧壁,应用P20胆道镜实施胆管探查取石术。结果经汇合处切开胆总管侧壁成功取出结石179例（95.7%）,改行切开胆总管前壁取石8例（4.3%）。一期直接缝合85例,其中胆漏11例,均一周内愈合。放置胆囊管导管74例,胆漏6例,3-5d停止。放置T形管20例,胆漏2例,3d停止。改行前壁取石的患者成功5例,中转开腹3例。术后残留结石3例,经内镜十二指肠乳头括约肌切开取石2例,经T形管窦道取石1例。随访185例患者,时间3个月-3年,未见胆管狭窄。结论采用经胆囊管胆总管汇合处切开入路治疗胆总管并发结石,创伤小,恢复快。
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| 关 键 词： | 胆结石 腹腔镜检查 内窥镜检查,消化系统 胆总管探查取石术 |
Laparoscopic transcystic common bile duct exploration and calculus removing via the junction of cystic duct and common bile duct |
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| SHANG Pei-zhong,LI Xiao-wu,JIA Guo-hong,LI Yong-qing,MIAO Jian-jun,NAN Run-ling,LIU Wei. Laparoscopic transcystic common bile duct exploration and calculus removing via the junction of cystic duct and common bile duct[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2011, 5(2): 26-28. DOI: 10.3877/cma.j.issn.1674-3946.2011.02.032 |
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| Authors: | SHANG Pei-zhong LI Xiao-wu JIA Guo-hong LI Yong-qing MIAO Jian-jun NAN Run-ling LIU Wei |
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| Affiliation: | SHANG Pei-zhong,LI Xiao-wu,JIA Guo-hong,LI Yong-qing,MIAO Jian-jun,NAN Run-ling,LIU Wei.Department of General Surgery,The 251th Hospital of PLA,Zhangjiakou 075000,China |
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| Abstract: | Objective To investigate the clinical significance of transcystic common bile duct exploration(TC-CBDE) with an Olympus CHF CB30L fibercholangioscope and the feasibility of laparoscopic calculus removing via the junction of the cystic duct and common bile duct(CBD).Methods Laparoscopic TC-CBDE with Olympus CHF CB30L fibercholangioscopy were performed for 183 patients with CBD calculi.Intraoperative cholangiography was performed for 4 patients.CBD calculi were removed respectively with P20 fibercholangioscop... |
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| Keywords: | Cholelithiasis Laparoscopy Endoscopy digestive system Exploratory extraction of common bile duct calculi |
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