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腹腔镜联合胆道镜胆总管探查取石术的应用探讨

罗顺全

河北医学2012,Vol.18Issue(3):317-320,4.
河北医学2012,Vol.18Issue(3):317-320,4.DOI:10.3969/j.issn.1006-6233.2012.03.012

腹腔镜联合胆道镜胆总管探查取石术的应用探讨

The Laparoscopy Combined with Choledochoscopy for Common bile Duct Exploration Application

罗顺全1

作者信息

  • 1. 四川省康定甘孜州卫生学校附属医院外科,四川,康定,624200
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摘要

Abstract

Objective: To investigate the clinical application of laparoscope combined with choledocho-scope in common bile duct. Method: Retrospective analysis of 48 cases of cholecystolithiasis and choledo-cholithiasis patients, application of laparoscopy combined with choledochoscopy in treatment of clinical data. Result: All 48 patients were successfully, without conversion to open operation, operation time, ( 2. 1 +0. 4 ) h, hospitalization time (l4.6 + 3.l)d;T tube placement in patients after 2 weeks after T tube radiography, no residual stone and the end of unobstructed, 3 weeks after extubation; 3 patients had residual stone in 2 cases, postoperative 6 weeks after T tube sinus with endoscope of biliary tract stone, 1 case with metronidazole and saline flush after discharge, all patients had no serious complications occurred. Conclusion : Laparoscopic common bile duct exploration combined with stone removal is safe and reliable, less trauma , fewer complications, is the treatment of common bile duct stones used in minimally invasive surgery, it is worthy of clinical application.

关键词

腹腔镜/胆道镜/胆总管结石

Key words

Laparoscopy/ Cholangioscopy/ Common bile duct stones

引用本文复制引用

罗顺全..腹腔镜联合胆道镜胆总管探查取石术的应用探讨[J].河北医学,2012,18(3):317-320,4.

河北医学

OACSTPCD

1006-6233

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