| 急诊腹腔镜下胆总管探查 |
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| 引用本文： | 李立波,蔡秀军,李君达,蔡小燕.急诊腹腔镜下胆总管探查[J].中华急诊医学杂志,2003,12(7):466-467. |
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| 作者姓名： | 李立波 蔡秀军 李君达 蔡小燕 |
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| 作者单位： | 310016,杭州,浙江大学医学院附属邵逸夫医院普外科 |
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| 摘 要： | 目的探讨腹腔镜联合胆道镜急诊处理胆总管结石的可行性。方法回顾分析46例腹腔镜联合胆道镜急诊处理胆总管结石的临床效果。结果46例急诊腹腔镜下胆总管探查均成功，结石取净率为100％。其中腹腔镜下胆总管切开取石35例，腹腔镜下经胆囊管胆道镜探查取石11例，两者术后平均住院时间分别为4d、2．5d，1例T管拔后并发胆漏经保守治疗后治愈。结论腹腔镜联合胆道镜能安全、有效急诊处理胆总管结石。
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| 关 键 词： | 急诊腹腔镜 胆总管 胆道镜 胆总管结石 临床效果 |
| 修稿时间： | 2002年12月16 |
Laparoscopic exploration of common bile duct in emergency medicine |
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| LI Libo,CAI Xiujun,LI Junda,et al..Laparoscopic exploration of common bile duct in emergency medicine[J].Chinese Journal of Emergency Medicine,2003,12(7):466-467. |
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| Authors: | LI Libo CAI Xiujun LI Junda |
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| Institution: | LI Libo,CAI Xiujun,LI Junda,et al.Department of Geneeral Surgery,Sir Run Run Shaw Hospital,Zhejiang University,Hangzhou 310016,China. |
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| Abstract: | Objective To evaluate the feasibility of laparoscopic exploration of common bile duct (LCBDE) in emergency medicine.Methods The therapeutic results of laparoscopic exploration of common blie duct in 46 cases of choledocholithiasis were analyzed retrospectively.Results Emergency LCBDE were successful in all 46 attempted cases,and no stone was retained.Laparoscopic choledochotomy was done in 35 cases,laparoscopic transcystic common bile duct exploration was performed in 11 cases,and the mean hospital stay after operation were 4 days and 2 5 days respectively.One case was complicated with bile leakage after removal of T tube was managed by conservative therapy.Conclusion Laparoscope combined with choledochosecope is helpful in dealing with choledocholithiasis. |
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| Keywords: | Laparoscope Choledochoscope Common bile duct stone |
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