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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Keywords：

胆总管探查; 胆道镜; 胆总管结石; 腹腔镜手术

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目的:总结应用腹腔镜联合胆道镜治疗胆总管结石的体会。方法:回顾分析2003年1月至2009年5月成都市第五人民医院联合应用腹腔镜胆道镜治疗胆总管结石的临床资料。结果:经胆囊颈管取石成功21例,切开胆总管取石27例,其中胆总管I期缝合17例,T管引流31例,3例术后发生胆总管残余结石,经T管窦道胆道镜取石治愈,5例中转开腹。结论:选择合适病例,腹腔镜联合胆道镜治疗胆总管结石患者创伤小,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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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,周晓初,等.腹腔镜胆总管切开取石术T管处理的探讨[J].中国微创外科杂志,2006,6(2):99-100．.
8.	贾国洪,周风桐,苗建军,等．胆总管切开及胆肠吻合术中应用纤维蛋白胶代替“T”型管(附44例报告)[J].中国医师杂志,2007,9(2):200-201.
9.	牛军,牛卫博,张朝阳,等．腹腔镜胆总管切开取石T管引流术15年经验回顾与展望[J].中国现代普通外科进展,2007,10(2):108-111．.

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. 牛军,寿椭海,胡三元,等．腹腔镜胆总管切开纤维胆道镜取石T形管引流的临床应用研究[J]．中华实验外科杂志,1993,10(10):9-11．.
3. 陈安平、鲁美丽、高坷,等.腹腔镜胆总管探查术653例报告[J].中华普通外科杂志,2004,19(2):82-84．.
4. 韩兵,王宝仁,陈伟,等.腹腔镜胆囊切除术联合ERCP治疗胆囊合并胆总管结石[J].天津医药,2006,34(8):530．.
5. 洪德飞,高敏,牟一平,等.腹腔镜胆囊切除术中联合括约肌切开取石的研究[J].中华外科杂志,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,周晓初,等.腹腔镜胆总管切开取石术T管处理的探讨[J].中国微创外科杂志,2006,6(2):99-100．.
8. 贾国洪,周风桐,苗建军,等．胆总管切开及胆肠吻合术中应用纤维蛋白胶代替“T”型管(附44例报告)[J].中国医师杂志,2007,9(2):200-201.
9. 牛军,牛卫博,张朝阳,等．腹腔镜胆总管切开取石T管引流术15年经验回顾与展望[J].中国现代普通外科进展,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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