腹腔镜外科杂志2011，Vol.16Issue(9)：677-679,3.
腹腔镜胆总管切开取石T管引流术
Laparoscopic choledocholithotomy with T-tube drainage
陈钦寿 1车斯尧 1潘思波 1何龙光 1黎福良1
作者信息
摘要
Abstract
Objective:To discuss experiences of laparoscopic choledocholithotomy with T-tube drainage. Methods:Clinical data of 22 patients who suffered from cholecystolithiasis and choledocholithiasis and underwent laparoscopy were retrospectively analyzed. During the operation,the common bile duct was exposed before the removal of the gallbladder. The common bile duct was opened and the calculi were removed directly or with choledochoscope,and T-tube drainage was performed. Results: All operations were performed successfully without conversion to open surgery. The operative time was 100-180 rain (mean, 120 min) ,the blood loss was 5-30 ml (mean,10 ml) and the postoperative hospital stay was 8-11 d(mean,9 d). Bile leakage occurred in 1 case and was cured with conservative treatment. During follow-up for 2-25 months ( mean, 18 months) in 22 cases.no recurrence of calculi or biliary tract symptoms were observed. Conclusions: Laparoscopic common bile duct exploration and T-tube drainage has advantages of minor trauma, little pain and rapid recovery,thus is worth of wide application.关键词
胆总管结石/胆囊结石病/腹腔镜检查/T管引流术Key words
Choledocholithiasis/ Cholecystolithiasis/ Laparoscopy/ T-tube drainage分类
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陈钦寿,车斯尧,潘思波,何龙光,黎福良..腹腔镜胆总管切开取石T管引流术[J].腹腔镜外科杂志,2011,16(9):677-679,3.
