587例腹腔镜胆总管探查术的临床评估

[Clinical evaluation of laparoscopic common bile duct exploration in 587 cases].

作者信息

Liu Chong-zhong, Hu San-yuan, Wang Lei, Zhang Guang-yong, Chen Bo, Zhang Hai-feng, Wang Ke-xin

机构信息

Department of General Surgery, Qilu Hospital, Shandong University, Jinan 250012, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2007 Feb 1;45(3):189-91.

PMID:17498380

Abstract

OBJECTIVE

To summarize the experience of laparoscopic common bile duct exploration.

METHODS

The clinical data of 587 cases who underwent laparoscopic common bile duct exploration from June 1992 to May 2006 were analyzed.

RESULTS

The surgery was successful in 585 cases (99.7%), 2 cases were converted to open common bile duct exploration. The duration of operation was 60 approximately 230 min (averaged 85 min), the complications consisted of biliary fistula (n=13), injury of the duodenum (n=1), abscess of drainage tube orifice (n=1), titanium clip discharging out from T tube (n=3), residual common bile duct stones (n=35). The patients could take food and walk on the second postoperative day and average postoperative hospital stay was 4.6 days.

CONCLUSIONS

Laparoscopic common bile duct exploration is a safe and effective procedure in treating the calculus of bile duct.

摘要

目的

总结腹腔镜胆总管探查术的经验。

方法

分析1992年6月至2006年5月期间587例行腹腔镜胆总管探查术患者的临床资料。

结果

手术成功585例（99.7%），2例中转开腹胆总管探查术。手术时间为60至230分钟（平均85分钟），并发症包括胆瘘（n = 13）、十二指肠损伤（n = 1）、引流管口脓肿（n = 1）、钛夹自T管脱出（n = 3）、胆总管残余结石（n = 35）。患者术后第二天即可进食并下床活动，术后平均住院时间为4.6天。