硬质胆道镜在腹腔镜胆总管探查取石中的应用

The clinical application of rigid choledochoscopy in laparoscopic treatment of bile duct stones

摘要:

目的 探讨硬质胆道镜在腹腔镜胆总管探查取石术中的应用价值及技术要点。方法 分析2010年6月以来腹腔镜胆总管探查治疗胆总管结石40例。结果 全部患者操作成功，结石取净率80.0%。，手术并发症4例，其中胆漏3例，穿刺孔感染1例，并发症发生率10%。结论 硬质胆道镜联合腹腔镜治疗胆总管结石安全、有效，方便、快捷，尤其适用于较大难取性结石。

Abstract:

【Objective】 To investigate the value and technical points of rigid choledochoscope application in laparoscopic common bile duct exploration lithotomy. 【Methods】 The clinical data of 40 cases of laparoscopic common bile duct exploration for choledocholithiasis with rigid choledochoscope were analyzed since June 2010. 【Results】 All operations were successful, the stone-free rate was 80% (32/40). The complication rate was 10%(4/40), including bile leakage in 3 cases. The puncture hole infection in 1 case, which were all cured by conservative treatment .【Conclusion】 Application of rigid choledochoscope in laparoscopic common bile duct exploration lithotomy is safe, effective, convenient and fast, especially for the larger stones.