Zhang S C
Second Hospital of Chengdu.
Zhonghua Wai Ke Za Zhi. 1993 Jul;31(7):404-6.
This study reviews the results of common bile duct exploration (CBDE) in 43 cases for suspected stones in the process of laparoscopic cholecystectomy (LC). Stones found and removed laparoscopically in 32 cases were 4.0-25.0mm in diameter and with the number ranging from 1 to 40 in a single patient. Exploration was negative in 11 patients (25.6%). AT-tube was inserted into the CBD in all patients exception 9. Two patients suffered from postoperative peritonitis including in one occurring in post-operation day 1 because of dislocated T-tube, and in the other after removing the tube 5 weeks postoperatively. Two patients had a retained stone. Our results suggest that laparoscopic CBDE is a feasible and effective measure for patients with choledocholithiasis.
本研究回顾了43例在腹腔镜胆囊切除术(LC)过程中因怀疑有结石而行胆总管探查术(CBDE)的结果。32例经腹腔镜发现并取出的结石直径为4.0 - 25.0mm,单例患者结石数量为1至40枚。11例(25.6%)探查结果为阴性。除9例患者外,所有患者均在胆总管置入了T管。2例患者发生术后腹膜炎,其中1例在术后第1天因T管移位发生,另1例在术后5周拔管后发生。2例患者有结石残留。我们的结果表明,腹腔镜CBDE对胆总管结石患者是一种可行且有效的措施。