腹腔镜联合胆道镜治疗胆总管结石38例

目的：探讨腹腔镜联合胆道镜在治疗胆总管结石中的临床应用.方法：回顾性分析本院外科38例采用腹腔镜、胆道镜联合治疗的胆总管结石患者资料.结果：本组腹腔镜联合胆道镜行胆总管探查取石术成功率97.4%（37/38）,1例中转开腹,1例术中探查胆总管未见结石,1例术后胆总管残留结石1枚,2例合并肝内胆管多发结石,均于术后6～8周经T管窦道行胆道镜取石.手术时间90～190 min,术中出血量10～200 mL,术后住院5～10 d.结论：腹腔镜联合胆道镜治疗胆总管结石具有微创、安全、疗效肯定、并发症少、恢复快等优点.

Combined use of laparoscopy and choledochoscopy for treatment of common bile duct stones in 38 patients

Objective： To evaluate the combined use of laparoscopy and choledochoscopy for treatment of common bile duct stones. Methods：A retrospective analysis was performed on 38 cases of common bile duct stones treated with combined laparoscopy and choledochoscopy. Results：Combined laparoscopy and eholedochoscopy was successfully performed in 97.4% （37/38） of the patients. One case was converted to open surgery, 1 cases failed to locate the stone by common bile duct exploration, 1 case found to have one residual stone in the common bile duct after operation, and two had complicating intrahepatie bile duct stones. All these patients underwent choledochoscopic lithotomy at 6 to 8 weeks after operation through the T tube fistula. Operative time was 90 - 190 min, blood loss 10 - 200 mL, and postoperative hospital stay 5 - 10 d. Condusion： Combined laparoscopy and choledoehoscopy for treatment of common bile duct stones appeared minimally invasive, safe and effective, and was with fewer complications and rapid recovery.