腹腔镜胆总管切开取石一期缝合术(附29例报告)  

Evaluation of laparoscopic choledochotomy and primary ductal submucosa closure:with a report of 29 cases

作　　者：朱慧如[1] 陈景繁[1] 易新平[1] 陈彪[1] 

机构地区：[1]柳州市中医院,广西柳州545001

出　　处：《腹腔镜外科杂志》2006年第2期132-133,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜胆总管切开取石一期缝合术的优点、方法及适应证。方法:应用腹腔镜手术设备及纤维胆道镜为29例胆总管结石患者行腹腔镜胆总管切开取石术,不置T管引流,一期缝合胆总管壁。结果:26例手术成功,平均手术时间98.2m in,术中平均出血15.3m l,术后平均肛门排气时间19.6h,术后平均住院8.3d,无胆漏等严重并发症发生,3例中转行腹腔镜胆总管切开取石T管引流术。结论:应用腹腔镜胆总管切开取石一期缝合术治疗胆管结石具有创伤小、住院时间短及并发症少的优势,对符合适应证的患者是一种安全、有效的术式,但应掌握操作技巧以提高手术成功率、防止胆漏的发生。Objective：To explore the value, method and indication of laparoscopic choledochotomy and primary ductal suhmucosa closure. Methods：The clinical data of twenty-nine patients with common bile duct calculi underwent laparoscopic choledochotomy and primary ductal submucosa closure without routine T-tube drainage was retrospectively analyzed. Results ：Twenty-six cases were successfully accomplished the operation but 3 cases converted to T-tube drainage. The mean operating time, blood loss and postoperative hosptalization were 98.2min, 15.3ml and 8.3d respectively. There were no severe complications occured in the patients who underwent primary closure. Conclusions.Laparoscopic choledochotomy and primary ductal submucosa closure has the advantage of less invasion, less complication and shorter hospitalization. It is a safe and effective operation for patients who have the indication.

关 键 词：胆总管结石 腹腔镜 一期缝合 

分 类 号：R657.4[医药卫生—外科学]