中国实用外科杂志2018，Vol.38Issue(2)：224-226,3.DOI:10.19538/j.cjps.issn1005-2208.2018.02.23
腹腔镜经胆囊管胆道探查取石术32例报告
Laparoscopic transcystic bile duct exploration: An analysis of 32 cases
摘要
Abstract
Objective To investigate the feasibility of laparoscopic transcystic biliary duct exploration (LTCBDE) for the treatment of common bile duct (CBD) stones by using 5 mm conventional choledochoscope in the basic-level hospital.Methods The clinical data and outcomes of 32 cases of gallstone and CBD stones treated by LTCBDE in Wuzhong People's Hospital Affiliated to Ningxia Medical University from June 2015 to April 2016 were analyzed retrospectively.All the cases were diagnosed with gallstone accompanying CBD stones preoperatively by ultrasonography,CT and (or) MRCP.Results The diameter of CBDs were 8 to 15 mm.CT or MRCP showed the diameter of the cystic ducts were more than 3 mm.The number of CBD stones were 1 to 3,and the diameter were 3 to 8 mm.Thirty of 32 cases of LTCBDE were successfully performed with the success rate of 93.8％ (30/32).The average operation time was (96.2 ± 32.5) min,and the average postoperative hospital stay was (3.5±2.1) d,and the incidence of complications was 6.3％ (2/32).There were 8 cases of large stones during the operation,and the microincision technique was used to complete the stone removal.After 10 to 22 months of out-hospital follow-up,no biliary stricture,residual stones and recurrence were found.Conclusion It is feasible that the LTCBDE using conventional 5 mm choledochoscope can be applied in basic-level hospital when the patients are well selected and the surgeons are well trained.Thus,the technique is worthy to be popularized in the basic-level hospitals.关键词
腹腔镜/胆道镜/胆总管结石/胆道探查术Key words
laparoscopy/choledochoscopy/common bile duct stone/bile duct exploration分类
医药卫生引用本文复制引用
范雄伟,杨海涛,郭伟,张忠涛..腹腔镜经胆囊管胆道探查取石术32例报告[J].中国实用外科杂志,2018,38(2):224-226,3.基金项目
首都临床特色应用研究(No.Z161100000516082) （No.Z161100000516082）
北京市属医院科研培育计划项目(No.PX2016001) （No.PX2016001）
首都卫生发展科研专项重点攻关项目(No.2016-1-1111) （No.2016-1-1111）
