目的探讨腹腔镜胆总管探查术与开腹胆总管探查术对患者肠道功能恢复的影响。
Objective:To evaluate intestinal canal function in patients who underwent laparoscopic common bile duct exploration(LCBDE)and open common bile duct exploration(OCBDE)for choledocholithiasis.
方法：病例选择自2003年3月至2006年3月间我科收治的ACST患者264例，在本研究初期随机选取40例胆总管结石致acst的患者入院后行急诊开腹胆总管探查、T管引流术，作为手术对照组。
Methods: From March 2003 through March 2006, 264 patients with ACST, 40 cases were randomly selected to perform emergent open bile duct exploration and T-tube drainage for case-control study.
结果：开腹胆囊切除、胆总管探查及腹腔镜胆囊切除是医源性胆道损伤的主要原因，占87.1%（27/31）。
Results:The main causes for iatrogenic bile duct injury were open cholecystectomy, common bile duct exploration and laparoscopic cholecystectomy, which accounted for 87.1% (27/31).
结果：34例成功实施了腹腔镜胆总管探查，胆总管一期缝合8例，放T管引流26例。中转开腹2例。
Results: 34 cases succeed in performing laparoscopic common bile duct exploration, 8 cases with primary suture, 26 cases with t tube drainage.
结果：34例成功实施了腹腔镜胆总管探查，胆总管一期缝合8例，放T管引流26例。中转开腹2例。
Results: 34 cases succeed in performing laparoscopic common bile duct exploration, 8 cases with primary suture, 26 cases with t tube drainage.
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