腹腔镜联合胆道镜胆总管探查一期缝合术的疗效评价  

Clinical evaluation of laparoscopy combined with choledochoscopy in primary suture of common bile duct exploration

作　　者：黄学峰[1] 苏永杰[1] 吴绍峰[1] 刘平果[1] HUANG Xuefeng;SU Yongjie;WU Shaofeng;LIU Pingguo(Zhongshan Hospital Affiliated to Xiamen University, Xiamen 361000, China)

机构地区：[1]厦门大学附属中山医院,福建厦门361000

出　　处：《中国医药科学》2018年第8期217-219,共3页China Medicine And Pharmacy

摘　　要：目的探讨腹腔镜联合胆道镜胆总管探查取石一期缝合术的疗效。方法将2013年1月~2016年12月203例因胆总管结石接受腹腔镜联合胆道镜胆总管探查术的患者作为对象进行回顾性分析。根据手术方式的不同分为T管引流组和一期缝合组。比较两组的手术实施时间、肛门排气时间、住院治疗时间、患者胆漏和结石残留发生率。结果手术时间、肛门排气时间、住院时间一期缝合组明显短于T管引流组,有统计学差异(P<0.05);一期缝合组胆漏、结石残留发生率低于T管引流组,但差异不显著(P>0.05)。结论腹腔镜联合胆道镜胆总管探查一期缝合术的疗效确切,可彻底取净结石,创伤小,并发症少,康复速度快,安全可行,值得推广。Objective To explore the efficacy of of laparoscopy combined with choledochoscopy in primary suture of common bile duct exploration. Methods Two hundred and three cases of choledocholithiasis who received laparoscopy combined with choledochoscopy for common bile duct exploration from January 2013 to December 2016 were retrospectively analyzed. The patients were divided into T tube drainage group and primary suture group according to different surgical methods. The operative time, anal exhaust time, hospitalization time, bile leakage and incidence of residual stones were compared between the two groups. Results The operative time, anal exhaust time and hospitalization time in the primary suture group were significantly shorter than those in the T tube drainage group, the difference was significant, P 0.05; The incidence of bile leakage and residual stones in the primary suture group was lower than that in the T tube drainage group, but the difference was not significant, P 0.05. Conclusion Laparoscopic combined choledochoscope common bile duct exploration and primary suture is effective, which can completely remove stone, small trauma, less complications, fast recovery speed, safe and feasible, worthy of promotion.

关 键 词：腹腔镜 胆道镜 胆总管探查 一期缝合 T管引流 

分 类 号：R657.4[医药卫生—外科学]