腹腔镜胆囊切除联合胆总管切开取石Ⅰ期缝合术58例报告

目的:探讨腹腔镜胆囊切除(laparoscopic cholecystectomy,LC)联合胆总管探查(laparoscopic common bile duct exploration,LCBDE)Ⅰ期缝合术治疗胆囊结石并胆总管结石的可行性.方法:回顾分析2008年10月至2009年11月为58例胆囊结石并胆总管结...

Analysis of 58 cases of laparoscopic cholecystectomy combined with laparoscopic exploration of the common bile duct with primary closure

Objective: To assess the feasibility of laparoscopic cholecystectomy(LC) combined laparoscopic common bile duct exploration(LCBDE) with primary closure in the treatment of cholecystolithiasis and choledocholithiasis. Methods:The retrospective analysis was made on the clinical data of the 58 patients with cholecystolithiasis and choledocholithiasis from Oct.2008 to Nov.2001.All patients underwent LC+LCBDE with primary closure of common bile duct,and abdominal drainage tube was placed in Winslow foramen. Results:Fifty-six operations were successful,and 2 cases were converted to laparotomy.All patients had satisfactory recovery with no complications.The mean hospital stay was 9 d(5-10 d),and the patients were discharged without drainage tube.The patients showed normal during the postoperative follow-up of 2-6 months,no abnormal results were found. Conclusions:LC +LCBDE with primary closure is safe,feasible and minimally invasive in treatment of cholecystolithiasis and choledocholithiasis with low incidence of complications,quick recovery and satisfactory curative effect.It is worth further research.