腹腔镜胆总管切开取石1期缝合处理体会  

Processing Experience of Laparoscopic Common Bile Duct Exploration and Primary Suture

作　　者：常桂生[1] 沈长兵[1] 钱龙[1] 秦菊芳[1] 

机构地区：[1]泰州市第二人民医院,江苏泰州225500

出　　处：《中国伤残医学》2014年第23期16-17,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨腹腔镜胆总管切开取石1期缝合术的处理体会方法：回顾性分析我院2012年7月∽2014年3月24例行腹腔镜胆总管切开取石1期缝合术手术患者的临床资料。结果：24例手术均获成功，手术时间70∽200分钟，平均130分钟；总住院时间6∽10天，平均7天；术后患者病情恢复良好，全部病例术后予腹部B超、肝功能检测随访3∽23个月，未发现黄疸、胆道残留结石和胆道狭窄等并发症。结论：腹腔镜胆总管切开取石1期缝合术是治疗部分胆囊结石合并胆总管结石的可行、安全的方法，更符合微创外科理念。Objective：To explore the processing experience of Laparoscopic common bile duct exploration and primary suture .Meth-ods：Retrospective analysis from July 2012 to March 2014 slitting line 24 cases of laparoscopic common bile duct lithotomy issue of the clinical data of the suture technique.Results：24 cases were successful , surgery time 70-200 min, average 130 min;total hospi-talization time 6 -10d, the average 7d.All patients recovered well by followed up 3-23 months through abdominal B ultrasound , liver function tests .No jaundice, biliary residual stones and biliary stricture complications occured .Conclusions：Choledocholithotomy laparo-scopic suture is a part of the treatment of gallstones and biliary calculi feasible and safe method , more in line with the concept of minimally invasive surgery .

关 键 词：胆总管结石 腹腔镜 胆总管探查术 1期缝合 

分 类 号：R657.4[医药卫生—外科学]