微创医学2024，Vol.19Issue(2)：128-133,6.DOI:10.11864/j.issn.1673.2024.02.05
鞘管保护下硬质胆道镜经腹腔镜胆总管入路治疗肝内外胆管结石的临床价值
Clinical value of rigid choledochoscopic under sheath protection in the treatment of intrahepatic and extrahepatic bile duct calculus through laparoscopic common bile duct approach
陆涛 1黄荣德 2张洪昌 1孙兴 2裴恒照 2苏泽 2方兆山2
作者信息
- 1. 广西中医药大学附属瑞康医院肝胆外科,广西南宁市 530011
- 2. 广西医科大学第五附属医院肝胆外科,广西南宁市 530022
- 折叠
摘要
Abstract
Objective To explore the clinical value of rigid choledochoscope under sheath protection in the treatment of intrahepatic bile duct calculus and common bile duct calculus through laparoscopic common bile duct approach.Methods A total of 115 patients with intrahepatic and extrahepatic bile duct calculus were selected as research objects.According to the operation method,patients were divided into rigid choledochoscope group(n=58)and fiber choledochoscope group(n=57).The rigid choledochoscope group was treated with rigid choledochoscope under the sheath protection through laparoscopic common bile duct approach,and the fiber choledochoscope group was treated with fiber choledochoscope through laparoscopic common bile duct approach.The operation time,intraoperative blood loss,postoperative hospital stay,caculus clearance rate,liver function(fasting venous blood levels of total bilirubin,direct bilirubin,alkaline phosphatase,y-glutamyltransferase)on the first day after operation,and postoperative complications were compared between the two groups.Results The operation time was shorter and the calculus clearance rate was higher in the rigid choledochoscope group than those in the fiber choledochoscope group,with statistically significant differences(all P＜0.05).There were no statistically significant differences in intraoperative blood loss,postoperative hospital stay,incidence of postoperative complications,and the levels of total bilirubin,direct bilirubin,alkaline phosphatase,γ-glutamyl-transferaseon the first day after operation between the two groups(all P＞0.05).Conclusion Rigid choledochoscope under sheath protection in the treatment of intrahepatic bile duct calculus and common bile duct calculus through laparoscopic common bile duct approach has short operation time and high calculus clearance rate,which is a safe and efficient surgical strategy with certain potential application value.关键词
肝内胆管结石/胆总管结石/硬质胆道镜/纤维胆道镜/腹腔镜胆总管探查术Key words
Intrahepatic bile duct calculus/Common bile duct calculus/Rigid choledochoscope/Fiber choledochoscope/Laparoscopic common bile duct exploration引用本文复制引用
陆涛,黄荣德,张洪昌,孙兴,裴恒照,苏泽,方兆山..鞘管保护下硬质胆道镜经腹腔镜胆总管入路治疗肝内外胆管结石的临床价值[J].微创医学,2024,19(2):128-133,6.
