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腹腔镜胆总管探查术1207例报告
引用本文:陈安平,赵聪,肖宏,陈先林,索运生,刘安,王征夏. 腹腔镜胆总管探查术1207例报告[J]. 中国医疗器械信息, 2007, 13(11): 8-10
作者姓名:陈安平  赵聪  肖宏  陈先林  索运生  刘安  王征夏
作者单位:成都市第二人民医院肝胆胰外科,成都,610017
摘    要:
目的:总结运用腹腔镜胆总管探查术的治疗经验。方法:回顾性分析1992年3月至2006年11月运用腹腔镜胆总管探查术对1207例患者进行治疗的经验。结果:即时缝合664例中627例和T管引流543例中494例治疗获得成功。中转开腹9例,胆漏46例,术后残余结石内镜未取净11例,死亡5例。结论:只要选择合适的病例,腹腔镜胆总管探查术对于有较高内镜和腹腔镜技术者是可行、有效和安全的。

关 键 词:腹腔镜  胆总管探查术  胆结石
文章编号:1006-6586(2007)11-0008-03
修稿时间:2007-10-19

Laparoscopic Common Bile Duct Exploration: a Report of 1207 Cases
Affiliation:Chengdu 610017
Abstract:
Objective: To summarize the experience on laparoscopic common bile duct exploration (LCDE). Methods: From Mar. 1992 to Nov. 2006, there were 1207 cases undergoing LCDE. Results: The procedure was successful in 627 out of 664 cases with primary closure of duct incision and 494 out of 543 cases of T tube placement. Nine cases were shifted to open CBD exploration. Bile leakage was cured in 46 cases. Endoscopy failed to totally remove residual stones in 11cases. Five cases died postoperatively. Conclusion: LCDE was safe and effective in the hands of skilled endoscopists.
Keywords:Laparoscopy   Common Bile Duct Exploration   Cholelithiasis
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