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Objective:To explore the methods and operation technique of choledocholithotomy with laparoscope and choledochofibersope,and T tube drain.

目的:探讨腹腔镜下胆总管切开、纤维胆道镜取石、T管引流术的方法及手术技巧。

Laparoscopic choledocholithotomy with T-tube drainage is a feasible, effective and safe treatment for patients with ACST.

经腹腔镜胆总管切开取石T管引流术急诊治疗重症急性胆管炎是可行、有效和安全的治疗方法。

Choledocholithotomy with laparoscope and choledochofibersope,T tube drain is a kind of very good and effective method worthy of being generalized.

腹腔镜下胆总管切开、纤维胆道镜取石、T管引流术具有微创手术的优势,效果可靠,值得在临床推广。

Objective:To summarize the changes of hemodynamics in the perioperative period of laparoscopic choledocholithotomy Ttube drainage.

目的:探讨腹腔镜胆总管切开取石&T&管引流术(laparoscopic choledocholithotomy Ttube drainage,LCTD)患者围手术期血流动力学的变化。

Objective To summarize the experience on laparoscopic choledochotomy with T-tube drainage.

目的 总结运用腹腔镜胆总管探查T管引流术的治疗经验。

Objective To probe the effect of treatment and operative means of choledocoscopy.Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

目的 探讨腹腔镜联合纤维胆道镜治疗胆总管结石的治疗效果及手术方式方法对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行期缝合或T管引流。

Type I Mirizzi syndrome treated with laparoscopic cholecystectomy and type Ⅱ with choledochotomy and T??tube drainage,suturing fistula and retaining partial gallbladder wall is safe and feasible.

Mirizzi综合征I型行LC、II型行胆总管T管引流+保留部分胆囊壁缝合瘘口的手术安全可行。

Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行一期缝合或T管引流。

Methods:The clinical data of twenty nine patients with common bile duct calculi underwent laparoscopic choledochotomy and primary ductal submucosa closure without routine T tube drainage was retrospectively analyzed.

应用腹腔镜手术设备及纤维胆道镜为29例胆总管结石患者行腹腔镜胆总管切开取石术,不置T管引流,一期缝合胆总管壁。

In the second operation, the cases receiving choleeystostomy had less peritoneal adhesion, anatomic structure changes, haemorrhage[(30-50) mL vs (100-200) mL] and operation time[(2.5-3.0) h vs (3.5-5.0) h] than those receiving choledochotomy with T-tube drainage ,and did not appear inadequate drainage for cystic duet obstruction.

而Ⅰ期行胆囊造瘘术的患儿,未发现有因胆囊管梗阻而致胆汁引流不畅者,且Ⅱ期手术时胆总管周围结构较清晰,手术操作相对容易、出血少(30~50mL)、耗时短(2.5~3.0h)。

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