关键词: 硬质胆道镜, 胆管残石, 鞘管, T管窦道, 肝胆管结石病

Abstract: 【Abstract】 Objective To summarize the experience and problems of rigid choledochoscope combined with fibrous sheath through T-tube sinus for treatment of complex residual bile duct stones. Methods The clinical data of 34 patients of residual bile duct stones treated by rigid choledochoscope combined with fibrous sheath through T-tube sinus were analyzed. The clinical efficacy and complications were recorded. Results All surgical procedures were completed smoothly. The time of calculus removed was ranged from 45 to135 minutes and 80 minutes on average. Stones were completely removed in 33 cases and stone was residue in one case. No bleeding, acute cholangitis, injury of bile duct wall and T-tube sinus were found during operation. And none had fever, abdominal pain, jaundice and recurrence in followed-up from 4 to 30 months. Conclusion Rigid choledochoscope combined with fibrous sheath through T-tube sinus existed a good efficiency in the treatment of residual bile duct stones. However, it relied on the experience and skills of the surgeon.

Key words: Hepatolithiasis, Rigid choledochoscope, Fibrous Sheath, Residual bile duct stones, T-tube sinus