摘要
目的探讨腹腔镜联合胆道镜在胆总管结石治疗中的疗效和临床体会。方法回顾性分析我院2020年收治的胆总管结石患者33例。研究组为腹腔镜联合胆道镜取石+胆总管一期缝合手术治疗18例,对照组为腹腔镜联合胆道镜取石+T管引流手术治疗15例,观察并比较两组患者围手术期各临床指标。结果两组患者的一般资料相比,差异无统计学意义(P>0.05)。研究组在手术时间、术后住院天数和住院总费用均少于对照组,差异有统计学意义(P<0.05)。在术中出血量、腹腔引流管拔出时间、术后首次通气时间、术后并发症方面的比较,差异无统计学意义(P>0.05)。结论在把握适应征的前提下,具有更小创伤的腹腔镜联合胆道镜胆总管探查术取石+胆总管一期缝合术相比较腹腔镜联合胆道镜胆总管探查术取石+T管引流更加安全有效。
Objective To investigate the efficacy and clinical experience of laparoscopy combined with choledochoscopy in the treatment of common bile duct stones.Method 33 patients with choledocholithiasis admitted to our hospital in 2020 were retrospectively analyzed.In the study group,18 cases were treated with laparoscopic combined choledochoscopic lithotomy and primary suture of common bile duct,while in the control group,15 cases were treated with laparoscopic combined choledochoscopic lithotomy and T tube drainage.Perioperative clinic indexes were observed and compared between the two groups.Results There was no significant difference in the general data between the two groups(P>0.05).The operation time,the days of postoperative hospitalization and total hospitalization expenses of the study group were less than those of the control group(P<0.05).There was no significant difference in intraoperative blood loss,the time of abdominal drainage tube extraction,the time of postoperative first ventilationand postoperative complications(P>0.05).Conclusion Compared with postoperative T-tube drainage,primary closure of common bile duct after LCBDE which shows a more minimally invasive advantage is safe and effective for the treatment of patients with common bile duct stones under adherence to its indications.
作者
陈佳
王兴宇
张剑林
朱振中
余宏铸
CHEN Jia;WANG Xing⁃yu;ZHANG Jian⁃lin(The First Affiliated Hospital of Anhui Medical University,Emergency Surgery,Hefei 230022,China)
出处
《肝胆外科杂志》
2022年第4期297-300,共4页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
胆道镜
胆总管结石
一期缝合
laparoscope
choledochoscope
choledocholithiasis
primary suture
作者简介
通讯作者:余宏铸。
