腹腔镜联合胆道镜胆总管切开取石治疗胆石症
腹腔镜,,腹腔镜；胆道镜；胆结石；胆囊切除术；胆总管切开取石术,1资料与方法,2结果,3讨论,参考文献
【摘要】目的：探讨腹腔镜联合胆道镜行胆囊切除、胆总管切开取石的疗效和方法。方法：回顾分析53例腹腔镜联合胆道镜胆囊切除、胆总管切开取石治疗肝外胆管结石的临床资料。结果：手术成功切除胆囊49例，完成胆总管切开探查取石、T管引流术44例，中转手术9例，全部患者恢复顺利，无严重并发症。结论：腹腔镜联合胆道镜治疗胆囊炎胆结石、肝内外胆管结石疗效可靠、安全，充分体现了微创治疗的优点；但分离时遇到粘连严重、易出血、解剖困难应及时中转开腹手术，以免发生严重后果。【关键词】 腹腔镜；胆道镜；胆结石；胆囊切除术；胆总管切开取石术
The treatment of cholelithiasis by laparoscope combine with choledocho scope to cholecystectony and choledoch lithotomy
CHEN Bohua,ZHAO Xiaoning,TAN Wen.
The Zhaoqing Country Hospital of Guangdong,Zhaoqing 526040,China
【Abstract】Objective: To investigate the treatment effect and method of applyiing laparoscope in combining with choledochoscope to cholecystectomy and choledocho lithotomy.Methods:The clinical data of 53 cases of cholecystolithiasis of hepatic duct and cystic duct undergoing cholecystectomy and choledocholithotomy applying laparoscope in combination with choledochoscope were reviewed.Results:Satisfactory outcome was realized in 49 cases of cholecystectomy,44 cases of choledocholithotomy and Ttube drainage,except conversion occured in 9 for duodennal injury.All patients recovered without serious complication.Conclusions: The combination procedure is feasible and safe.But when serious adherence,hemorrhage and dissection difficulty occurring ......
您现在查看是摘要页，全文长 6218 字符。