摘要
目的探讨腹腔镜胆总管探查术中十二指肠镜下乳头切开术(LEPT)治疗十二指肠乳头狭窄的手术方法和适应证。方法腹腔镜下行胆囊切除、胆总管切开和胆管镜探查取石术,经胆总管切口插入输尿管导管或斑马导丝至十二指肠腔,经口插入十二指肠镜至十二指肠乳头,针式刀在输尿管导管或斑马导丝指引下对乳头施行切开术。结果施行LEPT56例,54例乳头狭窄切开成功,2例中Κ为其他术式。术后轻症胰腺炎1例。无肠穿孔、胆管穿孔、胆漏、大出血、重症胰腺炎等并发症,无一例死亡。结论只要选择合适的病例,LEPT是可行、有效和安全的。
Objective To explore the operation methods and indications of duodenoscopic papillotomy during the course of laparoscopic common bile duct exploration（LEPT）. Methods To accomplish laparoscopic cholecystectomy and common bile duct incision and exploration by choledochoscopy, ureteric catheter and zebra guide wire were inserted through common bile duct incision into duodenal lumen, duodenoscope were inserted into duodenal papilla by mouth. Duodenal papilla was cut by electro-knife with the guide of the ureteric catheter and zebra guide wire. Results LEPT was successful performed in 54 out of 56 cases. Two cases were shifted to other operation. One patient had a slight pancreatitis. No cases had perforation of intestine and bile duct, bile leakage, bleeding, severe pancreatitis or death. Conclusions If patients are suitable, LEPT is safe and effective.
出处
《中华普通外科学文献（电子版）》
2009年第6期33-35,共3页
Chinese Archives of General Surgery(Electronic Edition)
