摘要
目的探讨胆道探查术后一期缝合胆总管的可行性及手术指征和手术方法。方法选择性地对438例有胆道探查指征的患者，在术中行胆道镜检查后做胆总管一期缝合，回顾性分析其治疗效果。结果438例均获痊愈。3例发生胆漏，2例发生胆道结石复发。随访1个月～8年，无胆道残余结石及胆道狭窄发生，未出现严重的梗阻性黄疸、胆管炎、胰腺炎及腹腔感染等并发症。结论只要严格掌握适应证，掌握缝合技巧和技术要领，胆道镜下胆道探查后一期缝合胆总管是安全可行的。
Objective To investigate the feasibility, indications and methods of the primary suture of common bile duct after exploration under choledochoscope. Methods The therapeutic effectiveness of primary suture of common bile duct in 438 cases having the indications subject to exploration of common bile duct under choledochoscopy was retrospectively analyzed. Results All the 438 cases fully recovered. The bile leakage occurred in 3 cases and biliary calculi recurrence occurred in 2 cases. During the follow up of 1 month to 8 years, no residual calculus or stricture of bile duct was seen. No serious obstructive jaundice, cholangitis, panereatitis or abdominal cavity infection was occurred. Conclusion If the indication and the technology of bile duct suturation are properly mastered, the primary suture of common bile duct following exploration under choledochoscopy was safe and feasible.
出处
《肝胆外科杂志》
2011年第4期264-266,共3页
Journal of Hepatobiliary Surgery
关键词
胆道探查术
一期缝合
胆道镜
exploration of common bile duct
primary suture
choledochoscope
