腹腔镜胆总管切开取石T管引流术

目的探讨腹腔镜胆总管切开取石T管引流术治疗胆总管结石的可行性。方法60例胆囊结石合并胆总管结石行腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）、胆总管切开取石T管引流术。结果60例手术均获成功，无中转开腹手术。手术时间90～180min，平均110min；术中出血量10～50ml，平均20ml。2例术后胆漏，保守治愈；6例胆道残余结石术后胆道镜取净。53例（随访率88．3％）随访2～33个月，平均13．2月，均无腹痛，发热，黄疸发作。结论LC、胆总管探查术治疗胆囊结石合并胆总管结石技术可行。

Laparoscopic choledocholithotomy with T-tube drainage

Objective To investigate the feasibility and significance of laparoscopic choledocholithotomy with T-tube drainage. Methods A total of 60 cases of common bile duct stones complicated with gallbladder stones were treated with laparoscopic cholecystectomy and common bile duct exploration with T-tube drainage. Results The operation was performed successfully in all the cases,without conversions to open surgery.Bile leakage occurred in 2 cases and was cured with conservative treatment.Residual stones were found in 6 cases and a postoperative choledochoscopy was required.The operative time was 90~180 min(mean,110 min),the blood loss was 10~50 ml(mean,20 ml).Follow-up checkups in 53 cases(88.3%) for 2~33 months(mean,13.2 months) revealed no abdominal pain,fever,or jaundice.Conclusions Laparoscopic cholecystectomy and common bile duct exploration for the treatment of common bile duct stones complicated with gallbladder stones is feasible and minimally invasive.