关键词: 快速康复, 肝胆外科, 腹腔镜, 胆道镜手

Abstract: 【Abstract】〓Objective〓To investigate the effect of fast-track in hepatic surgery operation. Methods〓From Nov 2009 to May 2014,192 cases of hepatobiliary operation were treated by laparoscopy and choledochoscopy under the guidunce of fast-track surgery. The surgical experience in hepatobiliary operation was described. Results〓No case died in prerioperative period in 192 cases, 114 underwent surgical procedure with laparoscopic mini-cholecystolithotomy with gallbladder preserved and choledochoscopic stone extraction in which there were 4 cases of recurrence(1 case underwent cholecystectomy, 3 cases were followed up regularly). Forty-six cases with postoperative residual bile duct stones were treated by choledochoscopic stone extraction from T tube in 6 week after operation. The other surgical operation were performed in 32 cases, including LC without T tube, tumor of bile duct, laparoscopic hepatectomy, etc. Conclusion〓Both laparoscopy and choledochoscopy in hepatobiliary operation embody the concept of rapid rehabilitation surgery.

Key words: Fast-track, Hepatic surgery, Laparoscope, Choledochoscopic operation