腹腔镜胆总管探查取石术123例临床分析

目的探讨腹腔镜下胆总管探查术的适应证、方法、优点。方法回顾性分析2003年10月-2005年3月我科123例腹腔镜胆总管探查术（LCBDE）的临床资料，全部病例术前经B超、磁共振胰胆管造影（MRCP）明确胆总管结石，腹腔镜镜下胆总管切开经纤维胆管镜取石后，置T管引流102例，I期缝合19例。结果121例成功行LCBDE，2例中转开腹，手术时间（115±40）min，住院时间6d-10d，T管引流4周～8周拔管。5例出现轻微胆瘘，保守治疗4d～10d治愈；残余结石15例，术后6周经T管窦道胆管镜取出。病例随访6个月～22个月无残余结石及胆管狭窄。结论LCBDE具有微创、低并发症等优点，有较高的，临床价值。

Analysis of common bile duct operation by laparoscopic procedure in 123 cases

Objective To discussthe methodsand theeffectofcommon bile duct(CBD)operation by laparoscope after laparoscopic cholecystectomy(LC).Methods 123 cases of LCBDE were operated in our department between november 2003 to march 2005,all of them were diagnosed CBD gallstone by type-B ultrasonic or MRCP,After the CBD stone was removed by choledochofiberscopy completely,102 cases were T-tube conducted,19 cases were sutured primarily.Results 121 cases of CBD gallstone were operated successfully,2 celiotomy in operatio...