【摘要】 目的探讨腹腔镜联合胆道镜治疗胆总管结石的效果和网篮法判断胆总管通畅情况的可行性。方法回顾性分析32例采用腹腔镜胆道镜胆总管探查取石手术病例的临床资料,总结其手术技巧、效果和并发症发生情况。结果 2013年1月至2014年1月共完成32例,31例经取石网成功取石,1例胆管内无结石。术后患者均顺利康复,T管造影无残留结石,胆总管下端通畅,无并发症,无死亡病例。结论腹腔镜联合胆道镜治疗胆总管结石效果良好,与传统开腹法相比具有创伤小、恢复快,患者乐于接受等优势。大号取石网篮通过胆总管下端后注入美兰不返流是判断胆总管下端是否通畅的简易方法。更多还原

【Abstract】 Objective To summarize the effect of treatment for common bile duct stones by laparoscope combined with choledochoscope,and to assess the feasibility in judgment the patency of common bile duct by stone basket. Methods To review and analyze the clinical data of 32 patients who were given choledocholithiasis operation through laparoscope combined with choledochoscope,and the operation method,effect and complications were compared. Results In this research,32 choledocholithiasis operations were carried out using laparoscope combined with choledochoscope from January 2013 to January 2014. The stones of 31 patients were taken out completely,and there were no stone in the other patient. All 32 patients recovered without any complication. After operation,all 32 patients showed unrestricted inferior bile common duct and no residual stone by T-tube cholangiography. Conclusion It showed satisfactory effect in treatment of choledocholithiasis by laparoscope combined with choledochoscope. Compared to traditional laparotomy,which showed less injure and faster recovery. It is a simple and feasible method to judge the patency of common bile duct using large size stone basket combined with methylene blue injection.更多还原