腹腔镜胆管切开一期缝合及胆囊管导管的联合应用  

PRIMARY CLOSURE OF LAPROSCOPIC CHOLEDOCHOTOMY COMBINED WITH CYSTIC DUCT TUBE

作　　者：高静涛[1] 秦建伟[1] 袁克文[1] 李智平[1] 曹嘉华[1] 李庆怀[1] 

机构地区：[1]兰州军区肝胆外科中心解放军第一医院,兰州730030

出　　处：《肝胆外科杂志》2007年第2期124-126,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探索腔镜胆管切开探查、一期缝合联合应用胆囊管导管的可行性。方法常规LC切除胆囊后,显露切开胆管取石。胆道镜取石网取净结石后,切开预留的胆囊管,经此置入胆囊管导管到胆总管内,随后结扎胆囊管固定胆囊管导管,腔镜下间断缝合胆总管切口。胆囊管导管及温氏孔处安置的腹腔引流管,分别由锁骨中线及腋前线肋缘下戳孔引出体外。共临床应用10例。结果全部10例病人术后恢复顺利,术后7-11天不带管出院,中位时间8天,无并发症。术后2月随访无异常。结论腔镜胆管切开探查一期缝合联合应用胆囊管导管技术可行、疗效满意、并发症率低,值得进一步探索与推广。Objective To study the feasibility of primary closure of laproscopic choledochotomy combined with cystic duct tube. Methods After routine laproscopic cholecystectomy and choledochotmy, a cystic duct tube was inserted into commen bile duct through cystic duct following clearance of stones with choledochoscope. Then ligate the residual cystic duct to fix the cystic duct tube, and primarily close the choledochotomy laproscopically. 10 patients were treated with this technology. Results All patients recovered uneventfully and were discharged without drainage. The hospital stay Was 7 to 11 days, median time was 8 days. Conclusions Primary closure of laproscopic choledochotomy combined with cystic duct tube was practical and deserved more study and spread, because of its satisfying outcome, low morbidity, and simple technique.

关 键 词：胆总管切开术 一期缝合 胆囊管导管 

分 类 号：R657[医药卫生—外科学]