基层医院开展腹腔镜联合胆道镜胆道探查取石术思考OACSTPCD
Thought of Basic Hospital Laparoscopic Bile Duct Exploration Joint Choledochoscope Lithotomy
目的 探讨基层医院开展腹腔镜联合胆道镜胆道探查取石术手术入路、操作性及安全性. 方法 回顾性研究23例患者的临床资料,总结手术入路方式、手术方式、手术时间、住院时间、手术并发症、手术成功率及残石率. 结果 术前患者通过彩色B超和/或CT、MRCP检查诊断胆总管结石或肝内胆管结石,术中行腹腔镜胆囊切除、胆道探查术,患者手术时间为1~3. 5h. 其中经胆总管探查取石20例,胆囊颈管探查3例,放置T管17例,1期缝合3例,胆囊颈管结扎3例;术中取出结…查看全部>>
Objective Discussion on basic hospital laparoscopic bile duct exploration joint choledochoscope lithotripsy surgical approach, maneuverability and safety. Methods A retrospective study of 23 patients, the surgical approach way of sum-mary, surgical approach, operative time, hospital stay, complications and surgical success rate and residual stone rate. Results Color B by preoperative ultrasound and / or CT, MRCP diagnosis of choledocholithiasis or intr…查看全部>>
赖景奎;刘兴东;曾鹏;杨波;刘洪
彭州市人民医院,四川 彭州611930彭州市人民医院,四川 彭州611930彭州市人民医院,四川 彭州611930彭州市人民医院,四川 彭州611930彭州市人民医院,四川 彭州611930
临床医学
胆总管结石腹腔镜检查胆道镜手术
common duct stoneslaparoscopycholedochoscopeoperation
《四川医学》 2015 (12)
1698-1700,3
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