腹腔镜联合胆道镜治疗胆总管结石行胆管一期缝合的可行性研究  

Prospective Study on Feasibility of Laparoscopic Choledocholithotomy and Saline Flushing and Primary Closure for Choledocholithiasis

作　　者：谷越[1] 翟博[1] 方泰石[1] 金鑫[1] 徐力善[1] 

机构地区：[1]哈尔滨医科大学附属第四医院普外科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2017年第28期5516-5519,共4页Progress in Modern Biomedicine

基　　金：黑龙江省自然科学基金项目(D201250)

摘　　要：目的:探讨应用腹腔镜联合胆道镜胆总管切开取石并行一期缝合胆总管的方法治疗胆总管结石病的可行性。方法:采用前瞻性研究方法,将我院2013年6月~2016年6月收治的76例胆总管结石患者随机分成A、B两组,A组给予腹腔镜联合胆道镜胆总管切开取石后行胆管一期缝合;B组给予腹腔镜联合胆道镜胆总管切开取石后留置T管引流。比较分析两组术中、术后及并发症情况。结果:胆总管一期缝合组较留置T管组住院时间更短,住院费用更低,且术后出现的并发症几率更小。结论:腹腔镜联合胆道镜胆总管切开取石后一期缝合胆总管是治疗胆总管结石病的安全可行的方法,既为患者节省了费用又避免留置T管带来的并发症,在合适的适应症下可行此手术方法治疗胆总管结石病。Objective： To discuss the feasibility of laparoscopic choledocholithotomy and saline flushing and primary closure for choledocholithiasis. Methods： By adopting the method of prospective studies, 76 patients of choledocholithiasis were randomly divided into A and B groups. Group A were treated with laparoscopic choledocholithotomy and primary closure; Group B were treated with the same way but followed T-tube drainage. The operastive situation, the postoperative recovery and complications of two groups were analyzed and compared. Results： laparoscopic choledocholithotomy and primary closure has a shorter postoperate hospital stay and a less hospital costs and a low postoperative complications. Conclusion： laparoscopic choledocholithotomy and saline flushing and primary closure for choledocholithiasis is feasibility,which not only save the hospital stay and costs, but also avoid the compications of T-tube drainage.So is worthy of application under the appropriate idications.

关 键 词：腹腔镜 胆总管结石 胆总管切开 一期缝合 T管引流 

分 类 号：R657.4[医药卫生—外科学]