腹腔镜下胆总管切开取石术的临床疗效观察及分析

目的 观察腹腔镜下胆总管切开取石术的临床疗效并总结其注意事项,探讨胆管结石的最佳手术治疗方法.方法 回顾性分析35例胆管结石患者,上述患者均采取腹腔镜下胆总管切开取石术治疗,总结上述患者治疗后的临床疗效及该术式的注意事项.结果 上述患者手术时间93.2±11.3min,术中出血量68±9.6mL,住院时间7.6±2.3d,住院费用9022.5±316.4元,无胆漏、感染及皮下气肿发生,术后残石患者1例(2.9%),2个月后经T管窦道取石成功.结论:腹腔镜下胆总管切开取石术临床疗效确切,术后并发症少,患者恢复快,治疗费用低.同时应做好各项处理,避免并发症的发生,确保临床疗效.

The Analysis and Observation of Clinical Effect About Laparoscopic Common Bile Duct Exploration

Objective: To observe the clinical effect about laparoscopic common bile duct exploration and summarize the notes,research the best way to treat the patients with bile duct stones.Method: Retrospective analysed 35 patients with bile duct stones,And then observed the clinical effects about laparoscopic common bile duct exploration and summarize the notes.Result:Operation time was 93.2±11.3min,blood loss was 68±9.6mL,hospitalization time was 7.6±2.3d,hospital charges was 9022.5±316.4 RMB,There’s no bile leakage,infection and subcutaneous emphysema,postoperative residual stones 1 case(2.9%),the stone self-discharge after 6months.Conclusion:We should choose the laparoscopic common bile duct exploration first and pay attention to avoid the complications.