| 开腹胆道术后腹腔镜再次胆道手术26例报道 |
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| 引用本文： | 吴志明,娄建平,储修峰,孟兴成,陈江,蒋月林,王国军. 开腹胆道术后腹腔镜再次胆道手术26例报道[J]. 中华普外科手术学杂志(电子版), 2010, 4(3): 46-48. DOI: 10.3877/cma.j.issn.1674-3946.2010.03.015 |
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| 作者姓名： | 吴志明 娄建平 储修峰 孟兴成 陈江 蒋月林 王国军 |
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| 作者单位： | 中国医科大学绍兴医院外科,浙江省绍兴市,312030 |
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| 摘 要： | 目的探讨开腹胆道术后经腹腔镜再次行胆道手术的可行性及安全性。方法 2002年3月至2010年3月,对26例开腹胆道术后腹腔镜再次胆道手术,采用腹腔镜胆囊切除术(LC)4例;腹腔镜胆总管切开取石术(LCBDE)19例,其中留置T管引流16例,行胆总管一期缝合3例;LCBDE加左肝外侧叶切除2例;单纯腹腔镜下左肝外侧叶切除1例。结果手术成功24例,中转开腹2例,无严重并发症发生。手术时间55～230min,平均(155.3±38.7)min;术中出血10～350ml,平均为(22.3±9.5)ml;术后住院时间为4～12d,平均为(5.9±2.3)d。随访5～72个月,未见结石复发。结论经腹腔镜胆道再次手术安全、有效,能达到微创手术的治疗效果。术者需要有熟练的腹腔镜技术和开腹胆道手术经验。
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| 关 键 词： | 胆结石 胆道外科手术 腹腔镜检查 再手术 |
Laparoscopic reoperation of the biliary tract after open bile duct surgery: report of 26 cases |
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| WU Zhi-ming,LOU Jian-ping,CHU Xiu-feng,MENG Xing-cheng,CHEN Jiang,JIANG Yue-lin,WANG Guo-jun. Laparoscopic reoperation of the biliary tract after open bile duct surgery: report of 26 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2010, 4(3): 46-48. DOI: 10.3877/cma.j.issn.1674-3946.2010.03.015 |
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| Authors: | WU Zhi-ming LOU Jian-ping CHU Xiu-feng MENG Xing-cheng CHEN Jiang JIANG Yue-lin WANG Guo-jun |
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| Affiliation: | WU Zhi-ming,LOU Jian-ping,CHU Xiu-feng,MENG Xing-cheng,CHEN Jiang,JIANG Yue-lin,WANG Guo-jun. Department of Surgery,Shaoxing Hospital of China Medical University,Shaoxing,Zhejiang 312030,China |
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| Abstract: | Objective To explore the feasibility and safety of reoperation under laparoscopy for patients who underwent open bile duct surgery previously. Methods From March 2002 to March 2010,26 patients who had undergone open bile duct surgery received reoperation under laparoscopy. Four patients underwent laparoscopic cholecystetomy,19 underwent laparoscopic common bile duct exploration (16 received drainage using a T-tube,3 patients received primary suture of the common bile duct; 2 patients received drainage plus ... |
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| Keywords: | Choleliasis Biliary tract surgical procedures Laparoscopy Reoperation |
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