摘要
目的:探讨腹腔镜胆总管探查T管引流术的手术技巧及临床疗效。方法:回顾分析2007年3月至2011年4月为330例患者行腹腔镜与开腹胆总管探查T管引流术的临床资料,对比分析两组手术时间、术中出血量、首次排气时间、术后并发症及住院时间。结果:两组患者手术时间差异无统计学意义(P>0.05),术中出血量、首次排气时间、术后并发症及住院时间差异有统计学意义(P<0.05)。结论:掌握一定的手术技巧,腹腔镜胆总管探查T管引流术安全可行,且具有患者创伤小、痛苦轻、康复快、住院时间短等优点,值得推广应用。
Objective ：To investigate the surgical skills and clinical efficacy of laparoscopic common bile duct exploration and T-tube drainage. Methods： The clinical data of 165 patients who underwent laparoscopic common bile duct exploration and T-tube drainage and 165 patients who underwent open common bile duct T-tube drainage from Mar. 2007 to Apr. 2011 were retrospectively ana- lyzed. A comparative study was made on the operative time, blood loss, the first exhaust time, postoperative complications and hospital stay between the two groups. Results：There was no significant difference between the two groups on operative time （P 〉 0.05 ）. There were significant differenees between the two groups of blood loss, the first exhaust time, postoperative complications, and hospital stay （ P 〈 0.05 ）. Conclusions ： Laparoscopic common bile duct T-tube exploration and drainage is safe and feasible with less injury and pain, quicker recovery, and shorter hospital stay after mastering certain surgical techniques. It should be widely popularized.
出处
《腹腔镜外科杂志》
2012年第8期583-585,共3页
Journal of Laparoscopic Surgery
关键词
胆总管结石
胆总管探查术
T管引流
腹腔镜检查
Choledocholithiasis
Common bile duct exploration
T-tube drainage
Laparoscopy
