方法对78例胆道结石患者在术前用MRCP进行腹腔镜下经胆囊管胆道探查术的可行性评估,将病例分为腹腔镜下经胆囊管胆道探查(LTCBDE)组及腹腔镜下胆总管切开探查(LCBDE)组。根据实际完成的手术方式,评价MRCP对LTCBDE可行性评估的价值。
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目的评价经胆囊管残端输尿管导管胆道引流在胆总管探查、胆管一期缝合术中的应用价值。
Objective To evaluate the value of bile duct drainage using ureter catheter through cystic duct remnant with primary closure of the common bile duct (CBD) incision after CBD exploration.
目的探讨经胆囊管胆道镜探查胆总管治疗胆总管结石可行性。
Objective To evaluate the feasibility of exploration of ductus choledochus for choledocholelithes by choledochofiberoscope via cystic duct.
结论：在无禁忌证的前提下，无论是开腹还是腹腔镜手术，应首先考虑经胆囊管途径行胆道镜胆道探查取石术。
Conclusion:In both of open and laparoscopic operation, it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.
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