胆道自脱落支架在老年胆总管结石患者胆管一期缝合中的应用体会  

Experience of Primary Suture in Aged Patients of Choledochotomy for Stone with Self-falling Biliary Stent

作　　者：邱烽 陈骏[1] 胡进勇[1] 吴建军[1] 卢朝德[1] 蔡卫华[1] 

机构地区：[1]南通大学附属南通第三医院普外科,南通226000

出　　处：《肝胆外科杂志》2014年第6期430-432,共3页Journal of Hepatobiliary Surgery

摘　　要：目的总结老年患者胆总管切开取石胆道自脱落支架置入的临床体会。方法分析27例胆结石老年患者行胆总管切开取石术的术式及病例资料特点。结果 13例在腹腔镜下全部完成胆总管切开取石胆道自脱落支架置入术,14例开腹胆总管切开取石胆道自脱落支架置入术,并发症少,无死亡病例。结论胆总管切开探查取石、胆道自脱落支架置入术具有安全可靠、患者损伤小、康复快、住院时间短等优点,是治疗老年胆总管结石的有效术式。Objective To summarize the clinical experience of choledochotomy for exploration,stone removal and self-falling biliary stent implantation in aged patients. Methods The operative methods and clinical characteristics of 27 cases of common bile duct stones treated with common bile duct expolomtion-self-falling biliary stent implantation were analyzed. Results The operation of LCBDE-self-falling biliary stent implantation was performed on 13 cases successfully and no case was converted to open surgery. The open operation of Choledochotomy for Stone with self-falling biliary stent was performed on 14 cases successfully. Few operative complications occurred. Conclusion Choledochotomy for exploration,stone removal and self-falling biliary stent is safe and reliable. Damage in patients are light,who recover quickly and with short hospitalization time. This method is feasible in treatment of bile duct calculi in aged patients.

关 键 词：老年人 胆道镜 胆总管结石 胆道自脱落支架 

分 类 号：R657.4[医药卫生—外科学]