腹腔镜治疗胆总管结石(附34例报告)

目的探讨腹腔镜治疗胆总管结石的可行性。方法对收治的34例胆囊结石继发胆总管结石或胆总管结石合并肝内胆管结石或单纯胆总管结石病人行腹腔镜下胆总管切开探查取石，并对其病例资料进行分析。结果Ⅰ期缝合胆总管12例(35．29％)，留置T管引流20例(58．82％)，中转开腹留置T管引流2例(5．9％)；一次性结石取净率为82．35％(28／34)，胆管残石率为11．76％(4／34)。全组病例无1例出现术后并发症，无手术死亡病例。结论腹腔镜治疗胆总管结石安全可行，且具有创伤小、疼痛轻、恢复快、并发症发生率较低及美容等优点。

Laparoscopic common bile duct exploration and extraction of bile duct stones (34 cases of report)

[Objective]To evaluate the ability of laparoscopic common bile duct exploration(LCDE) and extraction of bile duct stones. LCDE was used in 34 cases with common bile duct stones accompany with gall-stone and lithiasis or not.All the clinic data were analysed. Primary common bile duct sutures were performed in 12 cases(35.29%) and T-tube drainages were performed in 20 cases(58.82%). Conversion to open operation and T-tube drainages in 2 cases (5.90%). Stones were removed completely in 28 cases(82.35%) and removed incompletely in 4 cases(11.76%). No complications or Mortality in all the cases. [Conclusions] LCDE and extraction of bile duct stones is a safe and effective approach with minimal invasion, little pain, recovery rapidly, fewer complications and cosmetology for patients with choledocholithiasis.