腹腔镜胆总管探查术后一期缝合与置T管引流的临床对照研究  

Clinical comparison between primary closure and T tube drainage of the common bile duct afterlaparoscopic exploration

作　　者：李建军[1] 

机构地区：[1]郑州人民医院腹腔镜外科,450003

出　　处：《中华普通外科杂志》2013年第11期836-838,共3页Chinese Journal of General Surgery

摘　　要：目的探讨腹腔镜下胆总管探查一期缝合治疗肝外胆管结石的安全性、可行性及适用范围，总结该方法的临床经验。方法回顾性分析我院2009年7月至2012年8月实施腹腔镜胆总管探查术119例的临床资料，比较胆总管探查术后一期缝合63例（A组）与T管引流56例（B组）的临床效果。结果2组患者手术均成功完成腹腔镜手术，A组在手术时间、术后补液量、住院时间于B组相比，差异有统计学意义。2组都未出现胆总管狭窄及残留结石。结论腹腔镜胆总管探查后一期缝合是一种安全、有效、可行的手术方法。Objective To evaluate the safety, feasibility of primary closure after laparoscopic common bile duet exploration （LCBDE）. Methods We retrospectively analyzed the clinical resuhs of laparoscopie common bile duct exploration for common bile duct stones in 119 cases between July 2009 and August 2012. After all stones were removed, there were 63 cases with primary closure of the common bile duct （group A）, and 56 cases with T tube drainage （group B）. Results All operations were finished laparoscopically. There was significant difference in terms of operation time, postoperative hospital stay and fluid replacement between the two groups. There was no postoperative extrahepatic duct stenosis and biliary residual stones in the two groups. Conclusions Primary closure of common bile duct after LCBDE for common bile duct stones is safe, efficient and feasible.

关 键 词：腹腔镜 胆结石 胆总管缝合 

分 类 号：R657.4[医药卫生—外科学]