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腹腔镜胆总管探查取石74例临床疗效分析
引用本文:贺艳平,徐钧.腹腔镜胆总管探查取石74例临床疗效分析[J].山西医科大学学报,2012,43(1):62-64.
作者姓名:贺艳平  徐钧
作者单位:山西省人民医院普外科,太原,030012
摘    要:目的 探讨腹腔镜探查术治疗胆总管结石的疗效及其微创意义.方法 回顾性分析2006-10~2011-10腹腔镜胆总管切开探查治疗胆总管结石74例的临床资料.结果 74例中手术成功71例,3例中转开腹.手术时间80-170 min,平均(110±60)min;术中出血量20-110 ml;住院时间5-12 d,平均(7±5)d.结论 腹腔镜胆总管切开探查治疗胆总管结石是一种创伤小、恢复快、安全可靠的微创手术.

关 键 词:腹腔镜  纤维胆道镜  胆总管结石  胆总管切开探查术

Clinical analysis of laparoscopic choledochotomy with exploration for common bile duct stones in 74 cases
HE Yan-ping,XU Jun.Clinical analysis of laparoscopic choledochotomy with exploration for common bile duct stones in 74 cases[J].Journal of Shanxi Medical University,2012,43(1):62-64.
Authors:HE Yan-ping  XU Jun
Institution:(Dept of General Surgery,Shanxi Provincial People’s Hospital,Taiyuan 030012,China)
Abstract:Objective To investigate the clinical efficacy of laparoscopic choledochotomy with exploration in the treatment of common bile duct stones and the significance of minimally invasive surgery.Methods The clinical data of 74 cases of common bile duct stones undergoing laparoscopic common bile duct exploration from October 2006 to October 2011 were respectively analyzed.Results Of 74 cases,71 cases succeeded,and 3 cases were converted to open operations.The operation time was 80-170 min and averaged(110±60)min.The operative blood loss was 20-110 ml.The hospitalized time was 5-12 d and averaged(7±5)d.Conclusion Laparoscopic choledochotomy with exploration is a minimally invasive and safe surgery for the common bile duct stones with the advantages of fast recovery.
Keywords:laparoscope  fiber choledochoscope  common bile duct stone  choledochotomy with exploration
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