Objective To evaluate the advantages of laparoscopic bile duct exploration.
目的评价腹腔镜胆道探查的优越性。
Objective To summarize the experience on laparoscopic common bile duct exploration (LCDE).
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).
前言:目的:总结运用腹腔镜胆总管探查术的治疗经验。
Objective: To discuss the necessity of common bile duct exploration for biliary pancreatitis.
目的:探讨胆源性胰腺炎胆道探查的必要性。
Conclusion the distal bile duct exploration should be careful to avoid the iatrogenic injury.
结论行胆总管下端探查操作应谨慎,避免发生医源性损伤。
Methods: Laparoscopic common bile duct exploration, t duct drainage or primary suture were used.
方法:采用腹腔镜下胆总管切开取石,T管引流或一期缝合。
Laparoscopic bile duct exploration is a safe and reliable method in treatment of choledocholithiasis.
结论腹腔镜胆道探查是一种安全、可靠的治疗胆石症的方法。
Objective: to study the method of laparoscopic bile duct exploration and extraction of bile duct stones.
目的:探讨腹腔镜下胆总管探查胆道取石的方法。
Purpose: To compare the clinical effect between primary closure and t-tube drainage after laparoscopic common bile duct exploration.
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。
Objective To discuss the feasibility, indications and clinical value of laparoscopic common bile duct exploration with primary suture.
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。
Methods a retrospective analysis of primary suture of common bile duct in the common bile duct exploration in 106 cases of clinical data.
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。
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。
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。
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:In both of open and laparoscopic operation, it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.
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。
Objective: approach clinical application and effect of laparoscopic bile duct exploration, approach better types of operation on the base of our clinical experience exploration.
目的:探讨腹腔镜胆道探查术临床应用及临床疗效,总结成功经验,在成功的基础上探索新的手术改良方法。
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: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)。
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 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。
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: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。
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.
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。
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。
Of the 43 patients, 34 underwent cholecystectomy, 5 partial cholecystectomy and 4 cholecystectomy, exploration of come bile duct and T-tube drainage.
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。
Conclusions Routine use of metal probe for exploration the bile duct may cause injury of common bile duct or the posterior wall of duodenum.
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。
Objective To investigate the feasibility, indications and methods of the primary suture of common bile duct after exploration under fibercholedochoscope.
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 effect of raising buttock on the bowel movement of patients who received laparoscopic exploration of common bile duct.
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 explore the feasibility and minimally invasive value of laparoscopic choledochotomy with exploration and choledocholithotomy and primary suture of common bile 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。
All cases were carried out by cholecystectomy. 19 cases were carried out by exploration of common bile duct.
全部病例均行胆囊切除术,19例行胆总管探查术。
ConclusionsThe technique of suture needle puncture and discission of bile duct is a simple, effective and safe method for laparoscopic common duct exploration.
结论:缝针穿刺切开胆管法是一种在腹腔镜下简单、有效和安全的解剖及切开胆总管的方法。
So the severe complication derived from inappropriate, conventional, classical and open common bile duct (CBD)exploration, Ttube drainage operation should not be neglected.
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。
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