《东京指南》指导下腹腔镜胆总管探查术治疗胆管结石合并急性轻、中度胆管炎的临床观察
Medical Journal of National Defending Forces in Northwest China(2016)
Abstract
目的:研究《东京指南》(TG13)指导下腹腔镜胆总管探查术(LCBDE)治疗胆总管结石合并急性胆管炎的安全性及可行性.方法:依照TG13分级,36例急性胆管炎患者接受LCBDE,其中轻度20例,中度16例.术中胆道镜清除胆管结石,胆总管内放置T管.观察术后并发症及恢复情况.结果:所有患者均顺利完成LCBDE,手术时间40~170 min,术中胆道镜检查胆管无结石残留.术后2例轻微胆漏,另1例并发轻度肺部感染,保守治疗后治愈.其余患者无胆漏、出血等并发症发生,住院时间6~15 d.术后6~8周行T管造影,35例未见胆管残余结石,拔除T管;1例结石残余,行经窦道胆道镜取石.结论:TG13指导下采用LCBDE治疗胆管结石合并轻、中度急性胆管炎是安全、可行的.
MoreKey words
laparoscopic common bile duct exploration,acute cholangitis,Tokyo Guideline 2013
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