腹腔镜联合胆道镜治疗胆总管结石的临床分析

目的：探讨腹腔镜联合胆道镜治疗胆总管结石的临床疗效。方法：选择胆总管结石患者50例,行腹腔镜下胆总管切开胆道镜取石放T管引流术。观察患者术中、术后情况,评价手术治疗效果。结果：所有手术均获得成功,平均手术时间为（85±20）min,平均术中出血量为（20±5）ml,平均术后排气时间为（1.1±0.3）d,平均术后住院时间为（6±1）d,所有患者均未出现严重并发症。结论：腹腔镜联合胆道镜治疗胆总管结石能减少创伤,促进恢复,是治疗胆总管结石较为安全的微创手术方式。

Clinical analysis of laparoscop combined choledochoscope on common duct stones

Objective：To investigate the clinical curative effect of laparoscop combined choledochoscope on common duct stones.Methods：Chose 50 cases of whom with common duct stones and cutdown common duct with laparoscop and take out of stone with choledochoscope（LCBDE） and dnged bile with T type drainage tube,operations and postoperative recovery were observed and therapeutic efficacy were evaluated.Results：All operations succeed,the average opreative time was（85±20） min,volume of blood loss was（20±5） ml,time of breaking wind after operations was（1.1±0.3） d,length of stay was（6±1） d,there had not severe complication in patients.Conclusion：Treating common duct stones with LCBDE can decrease operation wound,improve postoperative recovery,and is safe small traumatic operation.