目的总结运用腹腔镜胆总管探查术的治疗经验。
Objective To summarize the experience on laparoscopic common bile duct exploration (LCDE).
目的：探讨腹腔镜下胆总管探查胆道取石的方法。
Objective: to study the method of laparoscopic bile duct exploration and extraction of bile duct stones.
全部病例均行胆囊切除术，19例行胆总管探查术。
All cases were carried out by cholecystectomy. 19 cases were carried out by exploration of common bile duct.
前言：目的：总结运用腹腔镜胆总管探查术的治疗经验。
Objective: To summarize the experience on laparoscopic common bile duct exploration (LCDE).
目的观察术后抬臀运动对胆总管探查患者肠蠕动恢复的影响。
Objective To investigate the effect of raising buttock on the bowel movement of patients who received laparoscopic exploration of common bile duct.
目的探讨腹腔镜胆总管探查一期缝合的可行性和适应证及临床价值。
Objective To discuss the feasibility, indications and clinical value of laparoscopic common bile duct exploration with primary suture.
方法回顾性分析胆总管一期缝合在胆总管探查术106例病例的临床资料。
Methods a retrospective analysis of primary suture of common bile duct in the common bile duct exploration in 106 cases of clinical data.
结果15例胆总管探查阴性者仅具有胆总管探查的相对指征而没有绝对指征。
Results ALL cases with negative exploration for CBD had only relative CBD exploration indications.
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.
目的探讨胆总管探查术中放置改良内支架及胆总管切口一期缝合的方法及效果。
Objective To explore the method and effect of primary closure of choledochostomy with placement of a modified biliary stent after common bile duct exploration.
目的探讨腹腔镜联合胆道镜在胆总管探查取石术中的技术和常见并发症及其防治。
Objective To explore the application of laparoscope combined with choledochoscope in common bile duct exploration and removing the stone, prevention and cure for concerning complications.
目的探讨纤维胆道镜胆总管探查术后一期缝合胆总管的可行性和手术指征及手术方法。
Objective To investigate the feasibility, indications and methods of the primary suture of common bile duct after exploration under fibercholedochoscope.
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.
结论腹腔镜联合胆道镜在胆总管探查取石术中的应用是安全可靠的，且创伤小，恢复较快。
Conclusion Application of laparoscope combined with choledochoscope in common bile duct exploration and removing the stone is safe and small hurt and quick recovery.
结果8例胆囊切除术，4例胆囊切除及胆总管探查T管引流术者在术后发现胆总管内残留结石。
Results Postoperative choledochal residual stones were found in 8 cases subject to cholecystectomy, and 4 cases subject to cholecystectomy plus t tube drainage following bile common duct.
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.
目的：比较腹腔镜胆总管探查一期缝合和T管引流的临床疗效，探讨腔镜胆总管探查治疗经验及适应症。
Purpose: To compare the clinical effect between primary closure and t-tube drainage after laparoscopic common bile duct exploration.
结论：肝门部胆管是极易受损的部位，不可轻视常规经典胆总管探查、T管引流手术不当所带来的严重并发症。
So the severe complication derived from inappropriate, conventional, classical and open common bile duct (CBD)exploration, Ttube drainage operation should not be neglected.
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).
方法对收治的胆总管探查733例，拔T 管后引起胆汁性腹膜炎16 例的统计学分析、病史的探讨及合并症的研究；
Methods Giving statistical analysis to 733 cases of choledochus exploration and 16 cases of choleperitoneum after the extraction of T-tube, and research the history and complications.
本组43例病人中，34例行胆囊切除术，5例行胆囊大部分切除术，4例行胆囊切除术加胆总管探查术，T形管引流术。
Of the 43 patients, 34 underwent cholecystectomy, 5 partial cholecystectomy and 4 cholecystectomy, exploration of come bile duct and T-tube drainage.
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.
结论：在严格掌握手术适应证的情况下，腹腔镜胆总管切开探查后一期缝合术较T管引流术疗效更好。
Conclusions: If the indication of primary suture was strictly mastered, the clinical effect of primary suture was better than T-tube drainage after laparoscopic common bile duct exploration.
结论常规使用金属胆道探子探查胆道，易导致胆总管下段或十二指肠后壁损伤。
Conclusions Routine use of metal probe for exploration the bile duct may cause injury of common bile duct or the posterior wall of duodenum.
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.
目的探讨腹腔镜胆总管切开探查取石、胆总管一期缝合的可行性及其微创价值。
Objective To explore the feasibility and minimally invasive value of laparoscopic choledochotomy with exploration and choledocholithotomy and primary suture of common bile duct.
方法回顾性分析553例急诊胆总管切开探查术中并发胆总管末端狭窄37例的临床资料。
Methods a retrospective analysis was performed on 553 cases of ACST operations with37 cases of choledochal strictured end.
方法：选择胆总管切开探查T管引流术病人。
Methods patients with choledochotomy and T-tube drainage were selected in the study.
目的探讨胆总管切开探查术后，T型管的合适夹管时间以减少胆汁丢失的方法。
Objective To explore the proper time of griping T-tube and the method which can reduce the loss of the bile after choledochotomy with exploration.
方法：为12例患者行腹腔镜胆总管切开探查取石术(LCBDE)。
Methods: 12 patients were done laparoscope choledocholithotomy with exploration (LCBDE).
应用推荐