摘要
目的:探讨腹腔镜胆总管切开取石术后胆总管一期缝合的可行性及临床应用价值。方法:采取临床随机对照实验,随机将43例胆总管结石或可疑结石患者分为一期缝合组(18例)和T管引流组(25例),对比两组患者手术时间、术中出血量、术后肠功能恢复时间、术后住院时间及并发症的发生情况。结果:两组患者手术时间、术中出血量、术后并发症发生率差异无统计学意义(P>0.05),术后肠功能恢复时间、住院时间差异有统计学意义(P<0.05)。结论:在严格掌握手术适应证的基础上,腹腔镜胆总管切开取石一期缝合术安全可行。
Objective：To investigate the feasibility and clinical value of the common bile duct primary suture after laparoscopic common bile duct exploration（LCBDE）.Methods：This study was a randomly controlled clinical trial,the 43 patients with common bile duct stones or suspected stones were randomly divided into primary suture group（18 cases） and T tube drainage group（25 cases）.Two groups were compared in operative time,blood loss,postoperative intestinal function recovery time,postoperative hospital stay and complications.Results：The difference of two groups in operative time,blood loss,postoperative complications was not statistically significant（P0.05）.The difference in bowel function recovery time and postoperative hospital stay between 2 groups was statistically significant（P0.05）.Conclusions：On the basis of strictly surgical indications,the primary suture of common bile duct after laparoscopic common bile duct exploration is safe and feasible.
出处
《腹腔镜外科杂志》
2011年第7期502-504,共3页
Journal of Laparoscopic Surgery
关键词
胆总管结石
腹腔镜检查
一期缝合
T管引流
对比研究
Choledocholithiasis
Laparoscopy
Primary suture
T tube drainage
Comparative study
