关键词: 腹腔镜, 硬质胆道镜, 胆总管结石, 肝胆管结石, 肝切除术

Abstract: 【Abstract】〓Objective〓To investigate the clinical effects of treatment of common bile duct and left hepatic duct stones by way of laparoscopic hepatectomy and choledochotomy through the left hepatic section by rigid choledochoscopy,.and to explore the feasibility and safety. Methods〓Fifty-nine cases of common bile duct stones combined with left hepatic duct stones from Nov. 2011 to Nov. 2014 were assigned to observation group (32 cases) and control group (27 cases). The patients in observation group underwent laparoscopic left lateral external lobectomy and common bile duct exploration with rigid choledochoscope via bile duct of liver section, and those in control group received laparoscopic left lateral external lobectomy and common bile duct exploration with T tube placement. The operation time, blood loss, postoperative bleeding, postoperative anal exhaust time, postoperative hospital stay,.postoperative complications were compared between two groups..WBC score,.Child-Pugh score,.R15 ICG were also investigated. Results〓There were not statistical differences between two groups of patients in blood loss,.removal the stones,.postoperative anal exhaust time,.postoperative pain,.postoperative complications,.the WBC,.liver function Child-Pugh score, R15 ICG after the first, five days. But the average operating time, postoperative hospitalization time of observation group were less than that of control group (P<0.05). Conclusion〓The surgical procedure, common bile duct exploration via bile duct from liver cross section after left lateral lobectomy, showed a feasible and safe way for treatment of common bile duct stones and hepatic duct stone.

Key words: Laparoscope, Rigid choledoscope, Common bile duct stones, Hepatic duct stone Hepatectomy