腹腔镜诊治胆囊管结石86例体会

目的:探讨腹腔镜诊断和治疗胆囊管结石的方法和效果。方法:对86例胆囊管结石患者采用腹腔镜治疗。结果:经B超、CT术前诊断胆囊管结石30例,术中探查发现胆囊管结石56例。顺利完成腹腔镜胆囊切除术(LC)83例,3例中转开腹,无一例发生胆管损伤、出血、胆漏、胆总管结石等严重并发症,均痊愈出院。结论:B超结合CT检查可在术前诊断胆囊管结石,灵活运用LC的处理技巧是腹腔镜诊断和治疗胆囊管结石的关键。酌情中转开腹可减少不必要的胆管损伤。

Laparoscopic diagnosis and treatment of cystic duct stones in 86 cases

Objective:To explore the method and effect of laparoscopic diagnosis and treatment in calculus of cystic duct.Methods:Reviewed the clinical data that 86 patients received laparoscopic cholecystectomy treatment because of calculus of cystic duct.Results:Before operation 30 cases were diagnosed Calculus of cystic duct By B-ultrasonography and CT,intraoperative probe found 56 cases diagnosed Calculus of cystic duct.83 cases were successfully completed laparoscopic cholecystectomy,3 cases were converted to open,no case was happened serious complications such as bile duct injury,hemorrhage,bile duct leakage and common bile duct calculus and so on.All recoveried.Conclusion :B-ultrasonography combined with CT examination can diagnose Calculus of cystic duct before operation and active application of laparoscopic cholecystectomy plays vital role in diagnosis and treatment of Calculus of cystic duct,if circumstance complicated,Choose laparotomy in order to reduce unnecessary bile duct injury,it is safe and feasible through laparoscopic cholecystectomy,treat Calculus of cystic duct.