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上腹部手术后胆管结石的腹腔镜手术治疗
引用本文:卢焕元,黄飞舟,蔡立峰,聂晚频,刘浔阳. 上腹部手术后胆管结石的腹腔镜手术治疗[J]. 腹腔镜外科杂志, 2003, 8(3): 144-145
作者姓名:卢焕元  黄飞舟  蔡立峰  聂晚频  刘浔阳
作者单位:中南大学湘雅三医院,湖南,长沙,410013;中南大学湘雅三医院,湖南,长沙,410013;中南大学湘雅三医院,湖南,长沙,410013;中南大学湘雅三医院,湖南,长沙,410013;中南大学湘雅三医院,湖南,长沙,410013
摘    要:目的 :探讨上腹部手术后胆管结石腹腔镜手术治疗的方法、可行性、安全性和有效性。方法 :14例有上腹部手术史胆管结石患者采用 4孔法进行腹腔镜手术联合术中、术后胆道镜检查 ,取石治疗。结果 :腹腔镜手术成功率 93% ,无 1例发生胆漏、切口感染、大出血等并发症 ,术后 1年复查无 1例结石复发。结论 :上腹部手术后胆管结石患者行腹腔镜手术治疗可行、安全且有效。

关 键 词:外科  上腹部  胆管结石  腹腔镜
文章编号:1009-6612(2003)03-0144-02
修稿时间:2003-01-12

Laparoscopic choledocholithotomy in patients with previous upper abdominal surgery
LU Huan yuan,HUANG Fei zhou,CAI Li feng,et al. Laparoscopic choledocholithotomy in patients with previous upper abdominal surgery[J]. Journal of Laparoscopic Surgery, 2003, 8(3): 144-145
Authors:LU Huan yuan  HUANG Fei zhou  CAI Li feng  et al
Abstract:Objective:To evaluate the feasibility, efficiency and security of laparoscopic choledocholithotomy in patients with previous upper abdominal surgery. Methods:Laparoscopic choledocholithotomy was performed in 14 patients with previous upper abdominal surgery, assisted with choledochoscopy intra post operation.Results:Laparoscopic choledocholithotomy was successfully performed in 13 of the 14 patients (93%).No complication of bile leakage and infection was found. Patients had short hospitalization. No recurrence in one year after operation.Conclusions:Laparoscopic choledocholithotomy is a effective and safe method for treatment of patients with previous upper abdominal surgery.
Keywords:Surgery   upper abdominal  Cholelithiasis  Laparoscopy
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