Deo K B, Adhikary S, Khaniya S, Shakya V C, Agrawal C S
Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Minim Invasive Surg. 2018 May 14;2018:8080625. doi: 10.1155/2018/8080625. eCollection 2018.
Laparoscopic common bile duct exploration has all the advantages of minimal access and is also the most cost effective compared to the other options.
To study a profile on laparoscopic common bile duct exploration for a single common duct stone.
A total of 30 consecutive patients with solitary common bile duct stone attending our hospital over a period of one year were enrolled in the study. Laparoscopic common bile duct exploration was done by transductal route in all the patients.
There were 18 females and 12 males with age ranging from 28 to 75 years. Jaundice was present in 12 (40%) patients. Twenty-four (80%) patients had raised alkaline phosphatase. The mean size of CBD on ultrasound was 11.55 mm. The mean size of calculus was 11.06 mm and was located in the distal CBD in 26 (86.7%) patients. The mean operative time was 158.4 ± 57.89 min. There were 8 (26.6%) conversions to open procedure. T-tube was used in 26 (86.7%) patients. The postoperative complications were hospital acquired chest infection in 3 (10%), surgical site infection in 3 (10%), acute coronary syndrome in one (3.3%), and bile leak after T-tube removal in one (3.3%) patient.
Laparoscopic common bile duct exploration is an effective, safe management of common bile duct stone.
腹腔镜胆总管探查术具有微创手术的所有优点，并且与其他选择相比也是最具成本效益的。
研究针对单个胆总管结石的腹腔镜胆总管探查术情况。
本研究纳入了在一年期间连续就诊于我院的30例单发胆总管结石患者。所有患者均通过经胆管途径进行腹腔镜胆总管探查术。
患者中女性18例，男性12例，年龄范围为28至75岁。12例（40%）患者出现黄疸。24例（80%）患者碱性磷酸酶升高。超声检查胆总管平均直径为11.55毫米。结石平均大小为11.06毫米，26例（86.7%）患者的结石位于胆总管远端。平均手术时间为158.4±57.89分钟。8例（26.6%）患者中转开腹手术。26例（86.7%）患者使用了T管。术后并发症包括3例（10%）医院获得性肺部感染、3例（10%）手术部位感染、1例（3.3%）急性冠状动脉综合征以及1例（3.3%）患者在拔除T管后出现胆漏。
腹腔镜胆总管探查术是治疗胆总管结石的一种有效、安全的方法。
