腹腔镜胆总管切开探查术一期缝合的临床疗效观察  

Observation of clinical curative effect of laparoscopic common bile duct exploration and primary ductal submucosa closure

作　　者：宋明照[1] 朱智辉[1] 彭靖[1] 

机构地区：[1]湖南怀化医专附属医院暨怀化市第三医院普外科,湖南怀化418000

出　　处：《中国内镜杂志》2008年第6期652-653,共2页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜胆总管切开胆道镜探查术后一期缝合胆总管的可行性、适应证和疗效。方法分析经腹腔镜胆总管切开探查术后一期缝合胆总管86例,其中胆囊结石合并胆总管结石75例,阴性探查8例,胆囊结石合并胆道蛔虫3例。结果86例手术均获成功,无中转开腹手术,无严重并发症,术后患者创伤小,出血少,康复快,住院时间缩短。结论腹腔镜下胆总管切开胆道镜探查术后一期缝合胆总管是安全、可靠、有效的方法,符合微创外科要求,适合胆囊结石合并胆总管结石的治疗。[Objective] To explore the possibility, curative effect and indication of laparoscopic common bile duct exploration(LC-CBDE) and primary ductal submucosa closure. [Methods] 86 cases of LC-CBDE and primary ductal submucosa closure were analyzed,among which 75 cases were of gallbladder calcui and common bile duct calcui, 8 cases underwent feminine gender exploration With the result of gall ballder calcui and biliary ascariasis in 3 cases. [Results] The operations in all the cases were successful. No conversio...

关 键 词：腹腔镜 胆石症 胆总管探查 一期缝合 

分 类 号：R657.4[医药卫生—外科学]