Laparoscopy Combined with Choledochoscopy in Treatment of 53 Patients with Calculi in Common Bile Duct_West China Medical Journal

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Department of Surgery, the Fifth People’s Hospital of Chengdu City, Chengdu 611130, China;

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膽總管探查; 膽道鏡; 膽總管結石; 腹腔鏡手術

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目的:總結應用腹腔鏡聯合膽道鏡治療膽總管結石的體會。方法:回顧分析2003年1月至2009年5月成都市第五人民醫院聯合應用腹腔鏡膽道鏡治療膽總管結石的臨床資料。結果:經膽囊頸管取石成功21例,切開膽總管取石27例,其中膽總管I期縫合17例,T管引流31例,3例術后發生膽總管殘余結石,經T管竇道膽道鏡取石治愈,5例中轉開腹。結論:選擇合適病例,腹腔鏡聯合膽道鏡治療膽總管結石患者創傷小,效果好,且安全可靠。

Citation： WANG Shulin,WANG Xue.. Laparoscopy Combined with Choledochoscopy in Treatment of 53 Patients with Calculi in Common Bile Duct. West China Medical Journal, 2009, 24(9): 2256-2258. doi: Copy

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1. Philip EH．New techniques for the treament of common bile duct calculi encountered during laparoscopic cholocytectomy[J]．Problems in General Surgery,1991,8:387．.
2. 牛軍,壽橢海,胡三元,等．腹腔鏡膽總管切開纖維膽道鏡取石T形管引流的臨床應用研究[J]．中華實驗外科雜志,1993,10(10):9-11．.
3. 陳安平、魯美麗、高坷,等.腹腔鏡膽總管探查術653例報告[J].中華普通外科雜志,2004,19(2):82-84．.
4. 韓兵,王寶仁,陳偉,等.腹腔鏡膽囊切除術聯合ERCP治療膽囊合并膽總管結石[J].天津醫藥,2006,34(8):530．.
5. 洪德飛,高敏,牟一平,等.腹腔鏡膽囊切除術中聯合括約肌切開取石的研究[J].中華外科雜志,2000,38(9):677-679．.
6. Tranter SE,Thompson MH ．Comparison of endoscopic sphincterotomy and Laparoscopic exploration of the common bile duct Br J sung,2002 89(12):1495-1504．.
7. 熊沛,彭毅,周曉初,等.腹腔鏡膽總管切開取石術T管處理的探討[J].中國微創外科雜志,2006,6(2):99-100．.
8. 賈國洪,周風桐,苗建軍,等．膽總管切開及膽腸吻合術中應用纖維蛋白膠代替“T”型管(附44例報告)[J].中國醫師雜志,2007,9(2):200-201.
9. 牛軍,牛衛博,張朝陽,等．腹腔鏡膽總管切開取石T管引流術15年經驗回顧與展望[J].中國現代普通外科進展,2007,10(2):108-111．.

West China Medical Journal

Laparoscopy Combined with Choledochoscopy in Treatment of 53 Patients with Calculi in Common Bile Duct

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