摘要
目的探讨腹腔镜下球囊导管扩张内涵管引流术治疗复发性胆总管结石和胆管狭窄的适应证及临床效果。方法对我院1999年8月至2009年8月采用腹腔镜胆总管探查术（LCBDE）、腹腔镜球囊导管扩张内涵管引流（LPBDLPBDc）治疗的61例胆道术后胆总管复发结石临床资料进行回顾性分析。结果61例手术均获成功。其中20例球囊导管扩张后Ⅰ期缝合胆总管探查切口，36例借助内涵管支撑引流后Ⅰ期缝合胆总管探查切口，5例胆总管内放置T管引流。术后无胆漏及残石等并发症，无死亡病例。术后随访1～9．5年，平均5．5年，结石无一复发。结论腹腔镜下球囊导管扩张内涵管引流术治疗复发性胆总管结石和胆总管狭窄可以有效预防结石复发，安全、可行，体现了微创治疗的优点。
Objective To explore the effect of laparoscopic bile duct exploration, balloon dila- tion, and catheter drainage in the treatment of postoperative recurrent choledoeholithiasis. Method The data of 61 patients with postoperative recurrent bile duct stones from August 1999 to August 2009 were retrospectively analyzed. The patients received laparoscopic bile duct exploration （LCDE）, lapa- roscopic papillary balloon dilation （LPBD）, and laparoscopie papillary balloon dilation endoprosthesis （LPBDE）. Result Satisfactory outcome was achieved in all the 61 patients. Among the 61 patients, 20 patients received LPBD and primary suturing, 36 patients received LPBDE and primary suturing, and 5 patients received LPBDE and T-tube drainage. There was no residual stone. There was no peri-operative mortality or serious complications including biliary leak and hemobilia. On follow up for 1 to 9.5 years in 56 patients, there was no recurrent choledocholithiasis. Conclusion The procedures were feasible and safe, and they prevent recurrence of choledocholithiasis.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2011年第10期826-828,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
腹腔镜
球囊导管
内涵管
复发性胆总管结石
Laparoseopic
Balloon dilatation
Endoprosthesis
Recurrent choledocholithiasis
