摘要
目的探讨腹腔镜再次胆道手术的方法.方法脐部穿刺,建立气腹,引入腹腔镜,根据腹腔粘连情况选择主操作孔和辅操作孔的穿刺部位和穿刺顺序,粘连松解后,切开胆总管,肝内胆管结石可采用高位胆管切开,取出肝内外胆管结石.结果该组31例,中转开腹2倒,成功完成腹腔镜手术29例.其中18例病人腹腔镜手术将结石完全取尽,11例病人术后仍有残石,需要胆道镜取石.术后住院时间为5～13 d,平均为(6.9±2.4)d.结论再次胆道手术不是腹腔镜手术绝对禁忌证.
Objective: To discuss the methods of laparoscopic reoperatoin on biliary tract. Methods: Incision was performed on umbilical part, where laparoscope would be introduced into abdominal cavity after pneumoperitoneum was established. The position of main operation pore and assistant operation pore was selected according to area of adhesion in abdominal cavity. After the adhesion was loosen, it could be done to incise common bile duct and calculus of intrahepatic duct might be taken out. Results: There were 31 patients in this group, among of which the operations were completed successfully in 29 patients. There were two cases converted to open surgery. Conclusion: Reoperation on biliary tract can be performed by laparoscope.
出处
《中国内镜杂志》
CSCD
2004年第10期1-3,共3页
China Journal of Endoscopy
