摘要
目的 探讨腹腔镜、胆道镜联合液电碎石在胆总管结石中的应用.方法 2009年1月至2013年12月应用腹腔镜、胆道镜联合液电碎石治疗173例胆道结石,其中男性102例,女性71例.年龄24～73岁,平均47.2岁.胆道结石合并胆囊结石者先行腹腔镜胆囊切除术,再通过胆道镜工作通道,应用液电碎石机治疗电极,在直视下接触结石,将胆总管及肝胆管结石击碎后用取石篮套出.结果 173例病人中,147例结石均一次性完全清除,余下病人留置T管后按疗程3～9周内清除结石.无胆管损伤、胆漏.162例术后随访3～30个月,平均15个月,腹部B超或磁共振胰胆管成像（magnetic resonance cholangiopancreatography,MRCP）检查未发现结石复发及残留,无胆道狭窄.结论 腹腔镜、胆道镜联合液电碎石机治疗胆道结石具有直观、准确、方便、疗效确切的特点,是治疗胆道结石的一种安全、有效的新手段.
Objective To evaluate the safety and efficacy of electrohydraulic lithotripsy by laparoscopy plus choledochofiberscopy for patients with complicated biliary calculi.Methods The clinical data of 73 patients with complicated biliary calculi undergoing laparoscopy with choledochofiberscopy and electrohydraulic lithotripsy from January 2009 to December 2013 were reviewed retrospectively.The patients with both biliary calculi and gall bladder stone underwent laparoscopic cholecystectomy followed by electrohydraulic lithotripsy.Then the stones were fragmented and extracted by irrigation or via a basket.Results A total of 147 stones were removed in one session without injury to bile duct or biliary leakage over 3-9 weeks.The mean follow-up period was 15 （3-30） months.Re-examinations of B-ultrasound or magnetic resonance cholangiopancreatography revealed no recurrence,residual stones or bile duct stricture.Conclusions Electrohydraulic lithotripsy by laparoscopy plus choledochofiberscopy is safe and efficacious for complicated cholelithiasis.
出处
《腹部外科》
2014年第6期446-448,共3页
Journal of Abdominal Surgery
关键词
腹腔镜
胆道镜
液电碎石
胆道结石
Laparoscopy
Choledochoscopy
Electrohydraulic lithotripsy
Biliary calculi
