Wood T, Macfadyen B V
Department of Surgery, University of Texas-Houston Medical School, 77030, USA.
Semin Laparosc Surg. 2000 Dec;7(4):288-94.
Laparoscopic cholecystectomy and common bile duct exploration are common surgical procedures for the general surgeon. To successfully remove common bile duct stones, choledochoscopy is an important technique for efficient and effective management. The choledochoscope can be introduced intraoperatively through the cystic duct or directly into the common bile duct and it also can be inserted transhepatically through a T-tube tract and per orally using a therapeutic duodenoscope. All of these methods allow for many options for the surgeon to consider, and one must be familiar with each of these techniques to maximize care. Successful stone extraction with the choledochoscope can be achieved in 75% to 95% of the cases with a morbidity less than 5%. Using this technique, the surgeon can improve the cost benefit of bile duct exploration.
腹腔镜胆囊切除术和胆总管探查术是普通外科医生常用的手术操作。为了成功取出胆总管结石，胆道镜检查是高效有效管理的一项重要技术。术中可通过胆囊管将胆道镜引入，或直接插入胆总管，也可经T管窦道经肝插入，或经口使用治疗性十二指肠镜插入。所有这些方法都为外科医生提供了多种选择，外科医生必须熟悉每种技术以提供最佳治疗。使用胆道镜成功取石的病例可达75%至95%，发病率低于5%。使用这项技术，外科医生可以提高胆总管探查的成本效益。
