腹腔镜胆总管切开取石一期缝合安全性临床分析  

Clinical Analysis of Laparoscopic Choledocholithotomy and Primary Suture

作　　者：仇爱刚 施育华[1] 王学斌[1] 程海燕[1] 

机构地区：[1]江苏省盐城市第三人民医院普通外科,江苏盐城224000

出　　处：《中国卫生标准管理》2017年第28期54-55,共2页China Health Standard Management

摘　　要：目的分析腹腔镜胆总管切开取石一期缝合安全性及治疗效果。方法抽选2013-2017年本院收治的83例胆总管结石患者,均对其行腹腔镜胆总管切开取石一期缝合,对治疗效果展开评估。结果 83例胆总管结石患者均顺利完成手术,手术时间为(118.5±15.6)min、排气时间为(24.5±6.4)h、住院时间为(6.2±1.3)d;术后5例(6.02%)发生胆漏,2例(2.41%)切口感染,对全部患者予以对症处理后,均治愈。结论临床对胆总管结石患者施以腹腔镜胆总管切开取石一期缝合术,术后可快速恢复,同时还能有效防治并发症,操作起来安全性较高。Objective To analyze the safety and efficacy of laparoscopic choledocholithotomy for primary suture. Methods A total of 83 patients with choledocholithiasis admitted to our hospital from 2013 to 2017 were enrolled in this study. All patients underwent laparoscopic choledocholithotomy for primary suture. The therapeutic effect was evaluated. Results The operation time was （118.5±15.6） min, the exhaust time was （24.5±6.4） h and the hospitalization time was （6.2±1.3） days respectively. Among the 83 patients with choledocholithiasis, bile leakage occurred,2 cases （2.41%） incision infection, symptomatic treatment of all patients, were cured. Conclusion The clinical treatment of choledocholithiasis by laparoscopic choledochotomy choledocholithotomy staging, a rapid recovery after surgery, but also effective in preventing and treating complications, the operation is safe.

关 键 词：腹腔镜 胆总管切开取石 一期缝合 临床效果 

分 类 号：R657.4[医药卫生—外科学]