腹腔镜术中经胆囊管纤维胆道镜取石术的应用体会(附18例报告)

目的:探讨腹腔镜手术中应用胆道镜经胆囊管途径进行胆总管探查、取石的方法及临床价值。方法:对18例腹腔镜手术中经胆囊管途径行胆道镜胆总管探查、取石患者的临床资料进行回顾性分析。结果:经胆囊管途径胆道镜成功取出胆总管结石共17例,失败1例,取石成功94.4%(17/18)。结论:腹腔镜手术中应用经胆囊管途径取出胆总管内结石的方法安全可行,较之腹腔镜术中胆总管切开取石的方法创伤更小。

Combined laparoscopy with choledochoscopy via cystic duct to extract common bile duct stones:a report of 18 cases

Objective:To explore the method and its significance of using choledochoscopy by cystic duct to extract common bile duct stones during laparoscopy.Methods:The clinical data of eighteen patients with gallbladder stones and common bile duct stones undergone laparoscopic cholecystectomy and choledochoscopy by cystic duct were reviewed.Results:In all patients,intraoperative choledochoscopy was successfully performed in 17 patients,the achievement ratio was 94.4%(17/18).Conclusions:Choledochoscopy by cystic duct is practical and safe,and can extract common bile duct stones in procedures of laparoscopic cholecystectomy,the injury to bile duct is smaller than the usually used common bile duct exploration.