2007 02 108-111
腹腔镜胆总管切开取石T管引流术:15年经验回顾与展望
基金项目(Foundation):
邮箱(Email):
DOI:
中文作者单位:
山东大学齐鲁医院普外科,山东大学齐鲁医院普外科,山东大学齐鲁医院普外科,山东大学齐鲁医院普外科 (山东济南250001),(山东济南250001),(山东济南250001),(山东济南250001)
摘要(Abstract):
<正>电视腹腔镜胆囊切除术(LC)已成为治疗胆囊结石等胆囊良性疾患的金标准。然而有7%～21%的胆囊结石病人合并有胆管结石,在亚太地区和我国这一比例更高。在LC早期,这类病人被列为LC相对禁忌证,仍需行传统开腹手术,但手术创伤较大,术后并发症多。如何应用腹腔镜、内窥镜及胆道镜等微创技术治疗胆石症,成为现代胆道外科微创治疗的热点。国内外学者对此进行了研究,如LC前或LC后行经内镜Oddi括约肌切开取石术(EST)、LC术中经胆囊管取石术(LCDE)治疗胆管结石。尽管LC联合EST是理论上合理的微创治疗方式,在我国的应用亦较广泛,但其并发症发生率
关键词(KeyWords):
腹腔镜;;胆总管结石;;引流术
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参考文献
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[12]王京立,杨敖霖,陆春雷.腹腔镜胆总管探查、一期缝合的应用研究[J].中国微创外科杂志,2006,6(1):19-20.
[13]龚仁华,蔡军,范育林,等.腹腔镜胆总管探查术临床分析[J].肝脏外科杂志,2005,14(2):99-100.
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[15]Isla AM,Griniatsos J,Wan A.A technique for safe placement of a biliary endoprosthesis after laparoscopic cholecystectomy[J].LaparoscEndoscAdv SurgTech A,2002,12(3):207-211.
[16]张诗诚,桂渊,唐志,等.腹腔镜胆总管探查术43例报告[J].中华外科杂志,1993,3(4):30-31.
[2]Phillip EH.New technique for the treatment of common bile duct calculi encountered during laparoscopic cholecystectomy[J].Probl,Gen,Surg,1991,8(6):387.
[3]Fletcher DR.Percutaneous(laparoscopic)cholecystectomy and exploration of the common bile duct:the common bile duct stone reclaimed for the surgeon[J].Aust NZ J Surg,1991,61(11):814-815.
[4]牛军,寿楠海,胡三元,等.电视腹腔镜胆管切开纤维胆道镜取石T管引流术的研究(附50例报告)[J].实用外科杂志,1993,13:281-283.
[5]陈安平,鲁美丽,田刚,等.开腹胆道术后腹腔镜再次胆道手术24例报告[J].中国内镜杂志,2002,8(9):45-48.
[6]熊沛,彭毅,周晓初,等.腹腔镜胆道再次手术的临床探讨[J].中国微创外科杂志,2003,8(3):331-332.
[7]陈安平,赵聪,陈大夫,等.腹腔镜胆总管切开取石术治疗细径胆总管结石[J].中国实用外科杂志,2005,25(11):673-674.
[8]Niu J,Shou NH,Hu SY et al.Laparoscopic Exploration of Intra-and Extra-hepatic Bile Ducts and T-tube Drainage[J].AN ZJ Surg,1995,65(3):189-193.
[9]Hunter G,Soper J.Laparoscopic management of bile duct stones[J].SurgClin North Am,1992,72(5):1077-1097.
[10]胡三元.腹腔镜胆总管切开取石术的并发症及其防治[J].医师进修杂志(外科版),2004,27(7):7-9.
[11]龙景培,周新华.腹腔镜胆总管切开探查并一期缝合152例临床分析[J].中国内镜杂志,2004,10(10):81-85.
[12]王京立,杨敖霖,陆春雷.腹腔镜胆总管探查、一期缝合的应用研究[J].中国微创外科杂志,2006,6(1):19-20.
[13]龚仁华,蔡军,范育林,等.腹腔镜胆总管探查术临床分析[J].肝脏外科杂志,2005,14(2):99-100.
[14]Yin SN,Ma H,Li QL,et al.Primary duct closure after laparoscopic common bile duct exploration:a retrospective study of302cases[J].LaparoendoscoEndoSurgy,2001,6(4):205-207.
[15]Isla AM,Griniatsos J,Wan A.A technique for safe placement of a biliary endoprosthesis after laparoscopic cholecystectomy[J].LaparoscEndoscAdv SurgTech A,2002,12(3):207-211.
[16]张诗诚,桂渊,唐志,等.腹腔镜胆总管探查术43例报告[J].中华外科杂志,1993,3(4):30-31.
基本信息:
DOI：
中图分类号:R657.4
引用信息:
[1]牛军,牛卫博,张朝阳等.腹腔镜胆总管切开取石T管引流术:15年经验回顾与展望[J].中国现代普通外科进展,2007(02):108-111.
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