腹腔镜联合胆道镜行胆总管探查术后一期缝合45例临床分析

目的:探讨腹腔镜联合胆道镜临床用于胆总管探查取石、一期缝合术的可行性。方法:腹腔镜行胆囊切除后,切开胆总管,联合胆道镜探查、取石,然后行胆总管一期缝合术。结果:手术时间平均110min,平均出血20ml,1例出现胆漏,全组病例均痊愈,随访1~18个月未见胆道狭窄及残余结石等并发症发生。结论:只要严格掌握手术适应证,两镜联合行胆总管一期缝合是安全可行的。

Laparoscopic common bile duct exploration with choledochoscope and primary suture of common bile duct combied with choledochoscope:with a report of 45 cases

Objective:To discuss the feasibility of laparoscopic common bile duct(CBD) exploration combined with choledochoscope and primary suture.Methods:After cholecystectomy,open the CBD,then explore the CBD with choledochoscope and extract stores,primarily suture CBD at last.Results:Mean operative time was 110 minutes and mean blood loss was 20ml.All patients were cured and bile leak was occured in one patients.No farther complications such as stenosis or retained stones occurred with a follow up of 1 to 18 months...