腹腔鏡下胆管切開術

• 山崎 元

  宝塚市立病院外科

書誌事項

タイトル別名

• Laparoscopic choledochotomy

抄録

Recently, endoscopic management for common bile duct stone is recognized as a standard therapy. But several treatments are needed for each patient, because pathology of each patient is not same and sometimes, plan of treatments between internal medicine and surgery is different. So, standard therapy for common bile duct stone is not only one in current state. There are two methods of laparoscopic choledocholithotomy, i. e. transcystic common bile duct exploration (TCCBDE) and supraduodenal common bile duct exploration (SDCBDE) or choledochotomy. TCCBDE is the best option for CBD stone fell from gallbladder, because transcystic route can be closed only by clips as laparoscopic cholecystectomy, but it's indication is limited. We began laparoscopic treatment for common bile duct stone from 1992, as SDCBDE is always appreciable whenever stones are larger than the diameter of cystic duct, number of stones are many and stones are in the common hepatic duct. We think that SDCBDE is very useful option for CBD stone, but it dose not become popular as there are many difficult procedures i. e. choledochotomy, how to remove stones completely, closure of CBD, drainage of biliary tract. Here, we report our methods of laparoscopic choledochotomy with primary closure of CBD and C tube drainage.

収録刊行物

• Tando

  Tando 21 (2), 178-183, 2007

  Japan Biliary Association

キーワード

• 総胆管結石
• 腹腔鏡下胆管切石術
• 腹腔鏡下胆管切開術
• 胆管切開法

詳細情報

• CRID: 1390001205465524352
• NII論文ID: 130004675847
• DOI: 10.11210/tando1987.21.2_178
• ISSN: 09140077
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可