腹腔镜联合胆道镜胆总管切开取石术的临床应用

目的:比较腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的效果。方法:2006至2008年我院为36例患者行腹腔镜胆总管切开取石术,并与同期80例开腹手术对比。结果:36例腹腔镜手术均获成功,无中转开腹,手术时间100~160m in,出血30~80m l,住院时间、术后镇痛药使用次数、腹腔或切口感染率、残石率明显减少。结论:腹腔镜联合胆道镜胆总管切开取石术治疗胆总管结石安全有效,与传统开腹手术相比具有患者创伤小、痛苦轻、康复快、住院时间短等微创效果,如能在取净结石后行胆总管Ⅰ期缝合,微创效果则更为明显。

Clinical application of laparoscopic choledocholithotomy combined with choledochoscopy

Objective:To compare the therapeutic effect of laparoscopic choledocholithotomy combined with choledochoscopy in treatment of choledocholithiasis with traditional open surgery.Methods:From 2006 to 2008,36 patients underwent laparoscopic choledocholithotomy in our hospital,and their clinical data were compared with 80 patients who underwent laparotomy in the same time.Results:Laparoscopic operations of 36 cases were successful,operative time was 100-160min,blood loss was 30-80ml,hospital stay,postoperative a...