腹腔镜胆总管探查即时缝合术832例.pdfVIP

腹腔镜胆总管探查即时缝合术832{歹IJ 陈安平赵聪索运生 肖宏 陈先林刘安王征夏 [摘要]目的总结运用腹腔镜胆总管探查即时缝合术的治疗经验。方法从1992年6月 果785例手术获成功，4例残石经内镜取石治愈，4例残石内镜未取净，34例胆漏经腹腔引流 管、腹腔镜、内镜或开腹引流治愈，2例输尿管导管脱落，2例术后出血，1例胰头癌术后死 亡。其他并发症均经非手术综合疗法治愈。结论只要选择合适的病例，腹腔镜胆总管探查 即时缝合术是安全可行的。 [关键词]腹腔镜： 胆总管探查术； 即时缝合 duct ofbile incisionof bileduct Prima吖closure laparoscopic 832 CHEN explorationpatientsAn-ping，ZHAOCong，SUO XIAO Xian-lin，LIUAn，WANG of Hong，CHEN Second of HepatobiliarySurgery,theHospitalChengdu 61001 7，China Tosummarizethe on with suture． [Abstract]Objectiveexperiencelaparoscopiccholedochotomyprimary MethodsFromJun1992to 2008intheSecond of were Hospital patients April People，S Chengdu，832 receivedthe commonbileduct wasfirst therapeuticalprocedures，i．e．1aparoscopicexplorationadopted in to with foIlowedthe closureofduct orderclearthestonescholedochoscopicexploration，thenprimary incisiondirectorafter ductexternal via duct．ResultsIthadobtainedsuccessful dilation，fine drainagecystic with in785outof832 hadresidualstonesthencured patients．Fourpatients endoscopicsphincterotomy． Four hadresidualstonesthennocuredwith hadbile patients endoscopy．Thirty·fourpatients leakage cured and abdominal had throughpatentdrainage，laparoscopiy,endoscopyopen operation．Twopatients with falienofffineductvia du