| 腹腔镜胆总管探查术64例临床分析 |
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| 引用本文： | 黄雄,熊苏娥,熊刚强,殷德华,贺杰.腹腔镜胆总管探查术64例临床分析[J].中国现代手术学杂志,2008,12(4):264-265. |
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| 作者姓名： | 黄雄 熊苏娥 熊刚强 殷德华 贺杰 |
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| 作者单位： | 湖南省安化县第二人民医院,安化,413522 |
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| 摘 要： | 目的总结腹腔镜胆总管探查术（laparoscopic common bile duct exploration，LCBDE）治疗胆总管结石的临床经验和疗效。方法回顾性分析64例施行LCBDE患者的临床资料。结果中转开腹3例，成功施行LCBDE 61例，其中行胆总管一期缝合．21例，T管引流40例。平均手术时间110（60～180）min，平均住院时间7（5～14）d。术后发生胆漏2例，胆总管残石3例。47例平均随访18个月，结石复发3例，经再手术治愈。结论LCBDE治疗胆总管结石创伤小、住院时间短、痛苦小，对符合手术适应证的患者而言，不失为一种安全有效的方法。
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| 关 键 词： | 腹腔镜检查 胆总管结石 胆总管探查术 |
Clinical Analysis of Laparoscopic Common Bile Duct Exploration (64 Cases Report) |
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| HUANG Xiong,XIONG Su-e,XIONG Gang-qiang,YIN De-hua,HE Jie.Clinical Analysis of Laparoscopic Common Bile Duct Exploration (64 Cases Report)[J].Chinese Journal of Modern Operative Surgery,2008,12(4):264-265. |
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| Authors: | HUANG Xiong XIONG Su-e XIONG Gang-qiang YIN De-hua HE Jie |
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| Affiliation: | Department of General Surgery;Second People's Hospital of Anhua;Anhua 413522;Hunan;China |
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| Abstract: | Objective To study the clinical experience and effect of laparoscopic common bile duct exploration(LCBDE).Method The data of 64 cases underwent LCBDE was retrospectively analysed.Results 3 cases conversed to open surgery.In the 61 cases completed LCBDE,21 cases received primary suture and 40 cases received T-tube drainage.2 cases suffered from bile leakage and 3 cases from remnant stone after operation.In the 47 cases who were followed up,recurrent calculi were found in 3.Conclusion In the patients with ind... |
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| Keywords: | laparoscopy choledocholithiasis common bile duct exploration |
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