腹腔镜胆总管探查治疗胃大部切除毕Ⅱ式吻合术后胆管结石的临床研究  

Clinical study of laparoscopic common bile duct exploration of bile duct stones in patients after gastrec-tomy and BillrothⅡgastrojejunostomy

作　　者：胡逸林[1] 曹庭加[1] 张杨[1] 袁野[1] 

机构地区：[1]广州军区武汉总医院普通外科,430070

出　　处：《临床外科杂志》2014年第6期411-413,共3页Journal of Clinical Surgery

摘　　要：目的：探讨腹腔镜胆总管探查治疗胃大部切除毕Ⅱ式吻合术后胆管结石的安全性、可行性及手术技巧。方法将30例胃大部切除毕Ⅱ式吻合术后胆管结石患者分为腹腔镜组与开腹组，比较两组的临床特征及围手术期差异。结果两组患者术前临床特征无显著差异（P＞0．05），腹腔镜组手术时间较开腹组稍长，但差异无统计学意义（P＞0．05），腹腔镜组在术中出血、术后进食时间、排气时间、引流管拔除时间、出院时间均优于开腹组（P＜0．01）。结论对于胃大部切除毕Ⅱ式吻合术后的患者腹腔镜胆总管探查是安全、可行、有效的治疗方式。Objective To evaluate the safety,feasibility and surgical techniques of laparoscopic com-mon bile duct exploration for patients with bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy. Methods Thirty cases of bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy were randomly di-vided into laparoscopic group and laparotomy group.Clinical characteristics and perioperative differences were compared between groups.Results There were no differences in preoperative clinical data between the two groups（P〉0.05）.Operative time of laparoscopic group was slightly longer than laparotomy group without significance（P 〉0.05）.Blood loss,time of postoperative feeding,exhaust time,extubation time and hospital stay in the laparoscopic group were all less than those in the laparotomy group（P〈0.01）.Conclusion Laparo-scopic common bile duct exploration is safe,feasible and effective for patients with bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy.

关 键 词：胃大部切除毕Ⅱ式吻合术 腹腔镜胆总管探查术 胆管结石 

分 类 号：R657.4[医药卫生—外科学]