【摘要】 目的 探讨免T管腹腔镜胆总管探查取石术的围手术期护理的体会和重要作用。方法 对我院实施的37例免T管胆总管探查取石术进行回顾性分析，并总结围手术期护理经验。结果 本组37例患者均获得一期手术成功，术后进食早，平均住院时间、输液总量和疼痛评分比常规手术明显减少。结论 免T管腹腔镜胆总管探查取石术是安全的，正确的围手术期的护理对其有重要的作用。

    关键词 腹腔镜 胆总管 护理

    【Abstract】 Objective To determine the importance of nursing in common bile duct(CBD)exploration by laˉparoscopic procedure without T-tube.Methods Retrospective analysis was carried out in37cases of laparoscopic procedure withoutT-tube in our hospital，and nursing experience about perioperative care was summarized.Results The sutures were all successful in37cases，all objects were better than in the OCBDE with T-Tube.Conclusion Common bile duct(CBD)exploration by laparoscopic procedure without T-tube is safe and the appropriate nursing is important.

    Key words laparoscopy common bile ductnurse

    如今随着腹腔镜外科的技术及器械的提高和更新 ......