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外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (3): 152-154.

• 论著 • 上一篇    下一篇

腹腔镜胆总管探查术2161例报告

王佳牧,陈安平,山长星,郭鑫,索运生,刘安,易斌,孙科   

  1. 遵义医学院附属成都市第二人民医院肝胆胰外科, 成都 600017
  • 出版日期:2013-09-28 发布日期:2013-03-25
  • 通讯作者: 陈安平,E-mail:chenanping1954@163.com
  • 作者简介:王佳牧(1990-),男,山东聊城人,硕士研究生,肝胆外科

Laparoscopic common bile duct exploration:a report of 2161 cases

WANG Jia-mu, CHEN An-ping, SHAN Chang-xing, GUO Xin, SUO Yuen-sheng, LIU An, YI Bing, SUN Ke   

  1. Department of Hepatobiliary Surgery,The Second Hospital of Chengdu City,Chengdu 610017,China
  • Online:2013-09-28 Published:2013-03-25

摘要: 目的 总结运用腹腔镜胆总管探查术的治疗经验。方法 回顾性分析1992年3月至2013年3月成都市第二人民医院运用腹腔镜胆总管探查术对2 161例病人进行治疗的经验及效果。结果 一期缝合的1 320例中1 241例(93.8%)及T管引流的841例中772例(91.7%)治疗获得成功;中转开腹24例,胆漏67例,术后残余结石内镜未能取净12例,死亡5例,其他并发症49例。结论 只要选择合适的病例,腹腔镜胆总管探查术是可行、有效和安全的。

关键词: 胆总管疾病, 腹腔镜检查, 胆结石

Abstract: Objective To summarize the experience of laparoscopic common bile duct exploration (LCDE).Methods The clinical data of 2 161 patients undergoing LCDE were analyzed retrospectively from March 1992 to March 2013 in the Second People,s Hospital of Chengdu.Results The procedure was successful in 1 241(93.8%) in 1 320 cases with primary suture of duct incision and 772(91.7%) in 841 cases with T tube drainage.Twenty-four cases were shifted to open common bile duct exploration .Bile leakage occurred in 67 cases.Residual stones were not removed by endoscopy in 12 cases.Five cases died postoperatively.Forty-nine cases were found with other complications.Conclusion If patients are in indication,LCDE is a feasible,safe and effective method for skilled endoscopists.

Key words: Common bile duct diseases, Laparoscopy, Cholelithiasis

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