腹腔镜外科杂志2012，Vol.17Issue(10)：765-767,3.
腹腔镜下胆道镜液电碎石术治疗肝内外胆管结石
The clinical analysis of cholangioscopy electrohydraulic lithotripsy with laparoscopy to treat intrahepatic bile duct calculi
摘要
Abstract
Objective:To summarize the methods,efficacy and safety of the cholangioscopy electrohydraulic lithotripsy with laparoscopy to treat intrahepatic bile duct calculi. Methods: The clinical data of 23 cases from Jan. 2005 to Jan. 2012 with refractory extra-hepatic and intrahepatic bile duct stones underwent cholangioscopy electrohydraulic lithotripsy with laparoscopy were retrospectively analyzed. The calculi-free rate and the incidence of complications were observed. Results:The rate of lithotripsy was 100 % in 23 cases, of which 22 were one-time free of biliary calculi, the free rate was 95. 7% ;0ne cases with more calculi underwent choledochoscope lithotomy through the T tube six weeks after surgery. No complications including biliary tract perforation, bleeding, bile leakage, wound infection and others were accurred. The peritoneal drainage tube was removed 3-4 d after operation,The hospital stay time was 5-7 d. 4 weeks after surgery, routine T-tube cholangiography was done, the T-tube was pinched for 3 d and then was removed. Conclusions: Lap-aroscopic cholangioscopy combined with electrohydraulic lithotripsy could significantly improve the therapeutic effect of the extrahepatic and intrahepatic bile duct calculi,which is safe and reliable.关键词
胆石症/腹腔镜检查/纤维胆道镜检查/液电碎石术Key words
Cholelithiasis/ Laparoscopy/ Choledochofiberscopy/ Electrohydraulic lithotripsy分类
医药卫生引用本文复制引用
朱晟,喻强,金昆,陈明亮,张京平..腹腔镜下胆道镜液电碎石术治疗肝内外胆管结石[J].腹腔镜外科杂志,2012,17(10):765-767,3.基金项目
常州市应用基础研究项目(编号:CJ20112018) （编号:CJ20112018）
