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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。

Objective To evaluate whether the internaltube discharge time have influence on therapeutic effects in the patients with internaltube drainage of laparoscopic choledocholithotomy.

目的:探讨腹腔镜胆总管切开取石及置管内引流术后内置引流管排出时间对疗效的影响。

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。

The indications for the initial CT were the staging of small-bowel tumor and colon cancer, nonspecific abdominal discomfort, lier abscess, confirmation of the residual stone after open cholecystectomy and choledocholithotomy, and common bile duct stone and lier abscess.

所有病人均发现胰腺有异常,初始CT检查有小肠肿瘤和结肠癌、非特异性腹部不适、肝脓肿、胆囊切除术和胆总管石切除术后的残余结石、总胆管结石伴肝脓肿。

Methods A total of 15 cases of unresectable pancreatic carcinoma were treated by HIFU combined with chemotherapy and choledochostomy in jaundice patients. Results (1) Of the 15 patients one case having no pain, in the other 14 cases, pain was relieved in 10 cases,, partial response in 3 cases, no response in one case.

采用FEP-BY01型超声热疗机治疗,联合化疗及胆总管造口术等方法,对15例不能手术根治切除的胰腺癌患者进行综合治疗及疗效观察。

The treatment of unresectable pancreatic cancinoma by HIFU, combined with chemotherapy and choledochostomy, can relieve cancer pain, improve the quality of life and prolong the survival span significantly. It is worthy for further study.

HIFU为主联合胆总管造口术手术、化疗等综合措施治疗不能手术切除的晚期胰腺癌,可有效缓解患者疼痛,改善生活品质,延长生存期,值得进一步研究。

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。

Methods: From December 2007 to October 2009,365 cases in affiliated hospital after choledochotomy with exploration and T-tube drainage were randomly divided into 5 groups: experiment group1-4(G1-G4) and control group.

对南京医科大学附属医院2007年12月~2009年10月进行胆总管探查和T管引流的356例患者进行随机分组,不同分组予以不同时间拔除T管。

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。

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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