完全腹腔镜肝切除术中顺行胆道镜检查的临床应用.doc

完全腹腔镜肝切除术中顺行胆道镜检查的临床应用 目录 TOC \o "1-9" \h \z \u 目录 1 正文 1 文1：完全腹腔镜肝切除术中顺行胆道镜检查的临床应用 1 1 资料和方法 3 (2)Trocar放置及操作空间建立。 4 2 结果 5 3 讨论 5 文2：血液流变性检查的临床应用 7 1　检测方法 8 2　临床资料 8 3　检测结果 8 参考文摘引言： 10 原创性声明（模板） 10 文章致谢（模板） 11 正文 完全腹腔镜肝切除术中顺行胆道镜检查的临床应用 文1：完全腹腔镜肝切除术中顺行胆道镜检查的临床应用 【Abstract】 Objective To introduce the technique and discuss the values of grade choledochoscopy during total laparoscopic liver resectio. Methods From June 2002 to December 2005, 11 cases of hepatolithiasis in the left intrahepatic duct underwent total laparoscopic liver resectio in our department. After left hepatectomy, videoassisted choledochoscopy was placed through the left hepatic duct to explore the common bile duct and the right hepatic duct in order to remove the stones. The stump of the left hepatic duct was sealed post operation. Results The operation was successfully done in all 11 cases including 6 cases (combined with cholecystectomy in 3 cases) treated with left lateral lobetectomy and 5 (combined with cholecystectomy in 1 case) treated with left hemihepatectomy. The choledochoscopy was used to wash bile duct in 5 cases and remove stones in 5 including 3 with common bile duct stones and 2 with right hepatic duct stones. One case converted to bile duct plasty after a stricture was found at the origination of the right hepatic duct. The mean operation time was (±) minutes (105255 minutes) and the mean intraoperative blood loss (±) ml (50250 ml). Thereinto, the mean time of choledochoscopy was (±) minutes (2560 minutes). The postoperative hospital stay was (±) days (38 days). The followup for (±) months showed that the result was excellent in 9 cases and good in 2. Conclusio Grade choledochoscopy through left hepatic bile duct during laparoscopic hepatectomy is a safe and feasible method for hepatolithiasis in the left intrahepatic duct, for it can avoid placement of Ttube, shorten recovery time and alleviate the pain of the cases. 【Key words】 Lap