经胆囊管球囊扩张取石及C管引流15例报告

目的探讨腹腔镜下经胆囊管球囊扩张取石及C管引流治疗肝外胆管结石的可行性及安全性。 方法回顾分析咸阳市第一人民医院2015年3月至11月15例肝外胆管结石患者行腹腔镜经胆囊管球囊扩张胆管取石及C管引流术的临床资料。所有患者均接受3个月以上随访。 结果15例均完成腹腔镜手术。手术时间(89 ± 18)min，术中出血量(34 ± 21)ml，腹腔引流留置时间(4.7 ± 1.5)d，肛门排气时间(25.7 ± 9.4)h，术后住院时间(7.2 ± 1.3)d。随访期内，所有患者术后均无胆漏出现，无胆管炎、胆管狭窄及结石残留。 结论腹腔镜经胆囊管球囊扩张胆管取石及C管引流治疗肝外胆管结石是安全可行的。

15 Cases on balloon dilation exploration and C tube drainage

ObjectiveTo Study the safety and feasibility of laparoscopic transcystic duct balloon dilation exploration and C tube drainage on patients with choledocholithiasis. Methods15 patients with cholangiolithiasis treated in laparoscopic transcystic duct balloon dilation exploration and C tube drainage from Mar. to Nov. 2015 were retrospectively analyzed. Results15 cases were performed completely with laparoscopy. Operative time was (89 ± 18)min, Blood loss was (34 ± 21)ml, peritoneal drainage time was (4.7 ± 1.5)d, flatus was (25.7 ± 9.4)h, postoperative hospital stay was (7.2 ± 1.3)d. Follow-up period, all patients had no postoperative bile leakage, cholangitis, stone of bile duct stricture and residue. All patients were followed up for more than 3 months. Conclusionslaparoscopic transcystic duct balloon dilation exploration and C tube drainage on patients with choledocholithiasis is relatively safe and effective.