腹腔镜胆总管切开一期缝合治疗胆总管结石的临床应用  

The clinical application of laparoscopic common bile duct exploration and primary suture in the treatment of choledocholithiasis

作　　者：崔英军[1] 刘庆[1] 

机构地区：[1]烟台市烟台山医院,山东烟台264001

出　　处：《腹腔镜外科杂志》2009年第10期780-781,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜胆总管切开取石后一期缝合术治疗胆总管结石的可行性。方法:2004年1月至2008年10月我院将收治的133例胆总管结石患者分为2组,80例行开腹胆总管探查取石一期缝合术,53例行腹腔镜胆囊切除、胆道镜取石及胆总管一期缝合术,不置"T"管引流。结果:全部手术均获成功,开腹组术后2例胆总管结石残留,行ERCP+EST取石成功;腹腔镜组3例术后早期胆漏,经引流3～5d后痊愈,无远期胆道狭窄。结论:胆总管一期缝合术治疗胆总管结石安全、有效、住院时间短、患者痛苦小,用腹腔镜行此手术更具有微创的优点,值得推广。Objective：To explore the feasibility of laparoscopic common bile duct （CBD） exploration and primary suture in the treatment of choledocholithiasis. Methods： From Jan. 2004 to Oct. 2008, 133 cases with eholedocholithiasis were divided into two groups. 80 cases in Group A underwent open common bile＇duct exploration and primary suture,and the other 53 cases in Group B were operated by the approach of laparoscopic eholecysteetomy,calculus removed by eholedochoscope and primary suture of CBD,without T tube drainage. Results ：The operations were completed successfully,2 cases in Group A were found residual stones which were removed by ERCP ＋ EST. Biliary leakage took place in 3 cases of Group B after operation and the patients recovered after about 3-5 days＇ drainage. No bile duct stricture occurred. Conclusions：Primary suture of CBD is a safe, effective operation for choledocholithiasis,with advantages of short hospitalization,less pain and minimal invasion,especially when it is done by laparoscopy.

关 键 词：胆总管结石 腹腔镜检查 一期缝合 病例报告 

分 类 号：R657.42[医药卫生—外科学]