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老年肝内外胆管结石的腹腔镜手术治疗
引用本文:鲁广恩,陈志军,胡三元. 老年肝内外胆管结石的腹腔镜手术治疗[J]. 腹腔镜外科杂志, 2005, 10(1): 38-39
作者姓名:鲁广恩  陈志军  胡三元
作者单位:1. 东阳市横店集团医院,浙江,东阳,322118
2. 山东大学齐鲁医院
摘    要:目的 :探讨老年肝内外胆管结石行腹腔镜手术的可行性、特点及围手术期处理。方法 :应用腹腔镜胆总管切开纤维胆道镜取石治疗老年性肝内外胆管结石 2 0例 ,显露肝门 ,切开胆总管 ,取石 ,胆总管均放置T形管引流。结果 :2 0例手术均获成功 ,1例术后肝内胆管残余结石 ,术后 6周经T管窦道纤维胆道镜取石治愈。 1例 16d拔T管后胆汁性腹膜炎 ,开腹引流治愈。结论 :老年性肝内外胆管结石腹腔镜手术 ,患者创伤小 ,安全 ,疗效满意。

关 键 词:胆总管结石  老年人  腹腔镜  治疗结果
文章编号:1009-6612(2005)01-0038-02
修稿时间:2004-09-09

Laparoscopic surgery for calculi in intrahepatic and extrahepatic duct
LU Guang-en ,CHEN Zhi-jun ,HU San-yuan. Laparoscopic surgery for calculi in intrahepatic and extrahepatic duct[J]. Journal of Laparoscopic Surgery, 2005, 10(1): 38-39
Authors:LU Guang-en   CHEN Zhi-jun   HU San-yuan
Affiliation:LU Guang-en 1,CHEN Zhi-jun 1,HU San-yuan 2
Abstract:Objective:To discuss the feasibility,characteristic and perioperative management in laparoscopic op-eration for calculi in intrahepatic and extrahepatic duct in senile patients.Methods:20patients were exposed porta hepa-tis,opened common bile duct,removed calculi,and put T tube drainage by laparoscopy.Results:All cases obtained suc-cessful results;1case had left calculus,Which was removed through the sinus of Ttube sixweeks later;1case had biliary peritonitis when T tube was pulled out on sixteen day after the operation,and was cured by laparotomy to drainage.Con-clusions:Laparoscopic operation for bile duct calculi in senile pationts is a safe,minimal traumatic and effect method.
Keywords:Common bile duct calculi  Aged  Laparoscopy  Treatment outcome
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