摘要
目的探究腹腔镜下胆总管探查(LCBDE)一期缝合治疗肝外胆管结石的安全性,总结该方法的临床经验。方法收集并回顾性分析该院2009年7月-2013年7月共178例患者行腹腔镜胆总管探查术的临床资料,比较胆总管探查术后一期缝合(缝合组)与T管引流(引流组)的安全性、可行性及适用范围。结果缝合组患者的手术时间、术后补液量、术后住院时间均低于引流组,差异具有显著性(P<0.05)。而术中出血量、引流管拔除时间、胃肠通气时间的差异无显著性(P>0.05)。两组患者的术后残余结石、复发结石和术后胆漏发生的差异无显著性(P>0.05)。结论腹腔镜胆总管取石术后一期缝合是安全、可行的。
【Objective】To explore the clinical effect of primary closure after laparoscopic common bile duct exploration（LCBDE） for common bile duct stone and sum up the clinical experience of the method.【Methods】The clinical data of 178 cases who underwent laparoscopic common bile duct exploration for common bile duct stones between May, 2010 and July, 2013 were collected and retrospectively analyzed. The safety, feasibility and scope of application of the cases with primary closure of the common bile duct（closure group） and the cases with T tube drainage（drainage group） were compared. 【Results】 The operation time, fluid replacement and postoperative hospital stay of the closure group were lower than that of the drainage group（P〈0.05）. The amount of intraoperative bleeding, drainage tube removal time and gastrointestinal ventilation time between two groups had no significant difference（P〉0.05）. The incidence of residual stone, recurrent calculus and bile leakage after the operation between two groups had no significant difference（P〉0.05）. 【Conclusion】 Primary closure of common bile duct after laparoscopic choledocholithotomy is safe and feasible.
出处
《中国内镜杂志》
北大核心
2015年第3期311-314,共4页
China Journal of Endoscopy
基金
四川省卫生厅科研基金资助项目(No:080197)
关键词
腹腔镜
胆结石
一期缝合
T管引流
laparoscopic
cholelithiasis
primary suture and T tube drainage
作者简介
[通信作者]周皓岚，E—mail：d2300828@163．com；Tel：13881696498
