腹腔镜联合硬质胆镜治疗胆囊结石合并肝内外胆管结石的手术配合.PDFVIP

现代临床护理（Modern Clinical Nursing）2013.12（2） 38 腹腔镜联合硬质胆镜治疗胆囊结石合并肝内外胆管结石的手术配合 陈平娟 （湛江中心人民医院内镜中心，广东湛江，524037） ［摘要］　目的　总结腹腔镜联合硬质胆镜治疗胆囊结石合并肝内外胆管结石手术配合要点。方法　采用腹腔镜联合硬质 胆镜治疗 86 例胆囊结石合并肝内外胆管结石的病人，配合做好手术配合护理工作。结果　86 例病人中手术成功 84 例（97.7％）， 中转开腹 2 例；术中平均出血（20.3±1.3）mL，平均手术时间（90.6±10.1）min；结石清除率为 91.7％。结论　腹腔镜联合硬质胆镜 治疗胆囊结石合并肝内外胆管结石安全、创伤小、结石清除率高，熟练的手术配合是确保手术顺利进行的重要措施。 ［关键词］　腹腔镜；硬质胆镜；手术配合 ［中图分类号 ］　R473.6　［文献标识码 ］　B　［文章编号 ］　 167 1-8283 （20 13）02-0038-03　［DIO］　 10.3969/j .issn.167 1-8283.20 13.02.0 12 Operative cooperation in laparoscopy and rigid choledochoscopy in the treatment of cholecystolithiasis complicated with calculus of bile duct Chen Pingjuan ∥ Modern Clinical Nursing，-2013，12（2）：38. ［Abstract］　Objective　To summarize the key points in operative cooperation in laparoscopy and rigid choledochoscopy in the treatment of cholecystolithiasis complicated with calculus of bile duct．Methods　86 cases of cholecystolithiasis complicated with calculus of bile duct were treated with laparoscopy combined with rigid choledochoscopy．Perioperative nursing was conducted carefully．Results　Operations on 84 of cases were successful and another 2 cases turned to open operations．The average bleeding volume was （20.3±1.3）mL and the average operation duration was （90.6±10.1） mins．The clearance rate of calculus was 91.7％． Conclusions　The laparoscopy combined with rigid choledochoscopy is safe and minimal in invasion and high in clearance rate of calculus．The skillful operative cooperation is critical for the smooth performance of the operation． ［Key words］ 　laparoscopy； rigid choledochoscopy； operative cooperation 腔镜法是胆囊结石合并肝内外胆管结石一 例，急性结石性胆囊炎 19 例，肝功能异常 27