Laparoscopic common bile duct incision suture a surgical stent drainage with the.docVIP

 PAGE \* MERGEFORMAT 7 Laparoscopic common bile duct incision suture a surgical stent drainage with the [Abstract] laparoscopic common bile duct exploration via an incision suture stent drainage for treatment of bile duct stones nursing methods, concluded that: The surgical treatment of bile duct stones is an effective way perioperative care is an important guarantee for success of the operation . [Keywords:] laparoscopic common bile duct stent with a surgical suture Laparoscopic common bile duct exploration (LCBDE) deal with common bile duct stones has become an effective means of disease [1]. In our hospital from January 2007 to July 2009 in the application of laparoscopic cholecystectomy (LC), based on the successful implementation of the laparoscopic cholecystectomy plus common bile duct incision in a drainage stent suture 39 cases, satisfactory effect, now with the experience of surgery are summarized below. A clinical data 1.1 The general situation in this group a total of 39 cases, of which 18 males and 21 females, mean age 49 (17-76) years. All patients were routinely MRCP examination there are different degrees of common bile duct expansion, the average diameter of common bile duct 1.2cm, of which 32 patients were found stones, 7 cases of intraoperative angiography found stone. LCBDE mean operative time was 130 (110-180) min. 8 cases of jaundice before surgery, there is a history of nine cases of pancreatitis. The mean hospital stay was 4.6 (3-8) d. 1.2 surgical methods used in all general anesthesia in this group. (1) The cholecystectomy four-hole into the abdominal cavity. Free cystic duct, via the cystic duct catheterization angiography and found that stones retained intubation. B-day before surgery or MRI found that bile duct stones and intraoperative see a remarkable expansion of those who do not have cholangiography. Longitudinal incision of common bile duct. The next Trocar placement Xiphoid Choledochofiberscope with basket to take stones.