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腹腔镜胆总管探查33例的临床体会

Clinical Evaluation of Laparoscopic Choledocholithotomy with T-tube Drainage in 33 Cases

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【作者】 赵立新董宝珠

【Author】 ZHAO Li-xin,DONG Bao-zhu (Department of General Surgery,Inner Mongolia Autonomous Region Hospital,Huhhot 010017 China)

【机构】 内蒙古自治区医院普通外科

【摘要】 目的:探讨及总结腹腔镜胆总管切开取石"T"管引流术的临床价值及相关手术经验。方法:对行腹腔镜胆囊切除、胆总管切开取石"T"管引流术33例患者的临床资料进行回顾性分析。结果:本组33例均成功实施LCBDE术,无中转开腹。无并发症发生。胆总管一期缝合5例,置T管引流28例。手术时间60~150 min,平均110 min。术后住院5~10 d,平均8.5 d。结论:腹腔镜胆总管切开取石"T"管引流术创伤小,术后恢复快,是安全可靠且有效的手术方式。

【Abstract】 Objective:To investigate and summarize the clinical value and the operative experience of laparoscopic choledocholithotomy with T-tube drainage.Methods:33 cases who underwent laparoscopic choladochlithotomy and common bile duct exploration with T-tube drainage were retrospectively analyzed.Results:The operation was successful in 33 cases,No cases were converted to open surgery.5cases were performed primary bile duct suture,and 28 cases with the T tube placement,The duration of operation was 60~150 min(averaged 110 min).average postoperative hospital stay was 8.5 days.Conclusions:The laparoscopic common bile duct exploration with T-tube drainage is a safe and effective operation with little injury and quick recovery.

  • 【文献出处】 内蒙古医学杂志 ,Inner Mongolia Medical Journal , 编辑部邮箱 ,2011年11期
  • 【分类号】R657.4
  • 【下载频次】14
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