腹腔镜联合硬性胆道镜胆总管切开取石一期缝合53例报告  

Effect of primary suture by rigid choledochoscope combined with laparoscopic common bile duct exploration: a report of 53 cases

作　　者：李嘉兴[1] 郭永学[1] 王金重[1] 莫奇霏[1] 钟锋[1] 

机构地区：[1]广东省江门市人民医院普外科,广东江门529000

出　　处：《实用临床医药杂志》2014年第7期64-65,70,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨腹腔镜联合硬性胆道镜行胆总管切开取石一期缝合可行性，以及手术技巧。方法回顾分析2011年3月-2013年11月本院53例患者行腹腔镜联合硬性胆道镜胆总管切开取石一期缝合术的临床资料。结果53例手术均获成功，无中转开腹。手术时间90～168min，平均112min，术后恢复顺利，住院6～9d，平均6．6d。术后无再出血、腹腔感染、胆漏、胆管狭窄、胆道结石残留等并发症发生。结论严格选择胆总管结石病例行腹腔镜联合硬性胆道镜镜胆总管切开取石一期缝合术县可行的．具有倒伤小、康舅惧、件院时间钶等优点,值得存有条件的医院摊广府用．Objective To explore the feasibility and surgical techniques of primary suture by rigid choledochoscope combined with laparoscopic common bile duct exploration. Methods Clinical materials of 53 patients with primary suture by rigid choledochoscope combined with laparoscopic common bile duct exploration were analyzed retrospectively. Results 53 patients completed operations successfully. The operating time was 90 to 168 minutes, with average duration of 112 minutes. Postoperative hospital stay was 6 to 9 days, with an average length of 6.6 days. No postoperative complications such as bleeding, abdominal infection, bile leakage, bile duct stricture and residual biliary stones were observed. Conclusion Under the premise of strictly selecting cases with common bile duct stones, rigid choledochoscope combined with laparoscopic common bile duct exploration for primary suture is a feasible method, it has the advantages of less trauma, fast recovery and short hospital stay, so it is worthy of popularization.

关 键 词：胆总管结石 胆总管切开取石术 腹腔镜 硬性胆道镜 胆总管一期缝合 

分 类 号：R657.4[医药卫生—外科学]