摘要
目的：分析总结腹腔镜胆总管探查术和胆总管切开取石一期缝合临床适应证和手术技巧。方法：回顾性分析我院2011年6月～2012年12月56例胆总管结石合并或不伴有胆囊结石的患者行腹腔镜胆总管探查术的临床资料。结果：本组56例手术均顺利完成。无中转开腹。其中21例行胆总管一期缝合，35例放置T管引流。手术时间90～200 min，住院时间6～13 d。术后1例胆漏，经腹腔冲洗治愈，术后随访6～12个月，无胆管狭窄、胆管残余结石发生，效果满意。结论：选择合适的病例，腹腔镜联合胆道镜胆总管切开取石和一期缝合是一项安全、有效的手术方式。
Objective：To summarize the clinical experience of applying laparoscopic common bile duct exploration to choledocholithiasis and assess the in-dications for choledocholithotomy and primary suture .Methods：The clinical data were retrospectively examined in 56 cases of choledocholithiasis with com-mon bile duct stones or without gallstones undergone laparoscopic common bile duct exploration in our hospital between June 2011 and December 2012. Results：The procedure was successfully performed in the total 56 cases,in whom 21 received primary suturing of the common bile duct ,and 35 were given T-tube drainage.The operation lasted from 90 to 200 min with an average of 130 min,and the hospital stay was 7.4 days（range：6-13 days）.Postopera-tive bile leakage occurred in one case who was managed with irrigation of the peritoneal cavity .Follow-up in 6 to 12 months showed no stricture of bile duct or retained calculus in the bile duct.Conclusion：Laparoscopic choledochotomy with primary suturing is a safe and effective approach to choledocholithia-sis,provided that the indications are properly assessed.
出处
《皖南医学院学报》
CAS
2014年第2期122-124,共3页
Journal of Wannan Medical College
关键词
腹腔镜胆总管探查术
一期缝合
胆总管结石
laparoscopic common bile duct exploration
primary suture
choledocholithiasis
