摘要
目的探讨胆总管探查免T管引流的可行性及手术方式选择。方法我院2008年1月至2009年12月行胆总管探查免T管引流51例,其中8例胆囊管内径大于0.5cm患者保留胆囊管约0.5cm,不作胆囊管结扎并在胆囊管开口处缝线作牵引;43例胆囊管内径小于0.5cm患者常规结扎胆囊管,在胆囊管汇入部下方0.5cm处切开胆总管前壁探查。结果 50例患者无胆漏、黄疸、腹痛等并发症发生,术后5～7天拔除引流管,7～9天痊愈出院;1例术后出现胆漏,术后12天拔除引流管,痊愈出院。结论胆总管探查免T管引流是安全可行的,利大于弊,值得临床推广。
Objective To discuss the feasibility of exploratory choledochotomy without T-tube drainage and the surgical strategy.Methods We retrospectively analyzed 51 cases of exploratory choledochotomy without T-tube drainage in our hospital from January 2008 to December 2009.Among them,8 cases with cystic duct inside diameter over 0.5cm kept cystic duct for about 0.5cm and made traction at opening of cystic duct without cystic duct ligation.The other 43 cases with cystic duct inside diameter less than 0.5cm underwent conventional cystic duct ligation and cut open common bile duct anterior wall.Results Of the 51 cases,50 cases had no complications like bile leakage,jaundice and abdominal pain,stopped using drainage tube 5 to 7 days after surgery and discharged 7 to 9 days after surgery.Only one case underwent bile leakage,stopped using drainage tube and discharged 12 days after surgery.Conclusion Exploratory choledochotomy without T-tube drainage is safe and feasible,with advantages outweighing disadvantages,which is suggested to be promoted.
出处
《实用医院临床杂志》
2010年第6期49-50,共2页
Practical Journal of Clinical Medicine
关键词
胆总管探查
免T管
胆道镜
胆总管结石
适应证
Exploratory choledochotomy
Without T-tube
Choledochoscopy
Common bile duct stone
Indication
