可吸收倒刺线在双镜联合治疗胆囊息肉中的临床优势  

Clinical advantages of absorbable barbed wires in laparoscopy combined with choledochoscopy treatment of gallbladder polyps

作　　者：刘飞[1] 胡伟[1] 孙磊[1] 吴万峰 徐梓恒 李锴[1] Liu Fei;Hu Wei;Sun Lei;Wu Wanfeng;Xu Ziheng;Li Kai(Department of Hepatobiliary Surgery,The First People's Hospital of Lianyungang,Lianyungang 222061,JiangsuProvince,China)

机构地区：[1]连云港市第一人民医院肝胆外科,连云港222061

出　　处：《中国基层医药》2023年第2期254-257,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的:探讨可吸收倒刺线在双镜联合(腹腔镜联合胆道镜)治疗胆囊息肉中的临床优势。方法:回顾性分析连云港市第一人民医院2016年2月至2018年3月行双镜联合治疗的胆囊息肉患者103例的临床资料,其中采用可吸收倒刺线缝合胆囊壁的65例为观察组,采用普通可吸收缝线缝合胆囊壁的38例为对照组,对比分析两组患者手术操作时间、胆囊缝合时间、术中出血量、住院时间、术后胆漏发生情况。结果:两组术中出血量、术后住院时间差异均无统计学意义(P=0.312、0.114)。观察组胆囊缝合时间[(5.58±1.14)min]、手术时间[(60.71±11.03)min]均短于对照组[(6.32±1.04)min、(68.24±9.61)min],两组差异均有统计学意义(t=3.23、3.50,P=0.002、0.001)。观察组术后未发生胆漏,对照组发生胆漏4例(10.5%),两组差异有统计学意义(χ^(2)=4.57,P=0.032)。结论:可吸收倒刺线用于双镜联合治疗胆囊息肉术中缝合胆囊壁安全可行,其可明显缩短腹腔镜下胆囊缝合时间和手术时间并降低胆漏发生率,临床优势明显。Objective:To investigate the clinical advantages of absorbable barbed wires in laparoscopy combined with choledochoscopy treatment of gallbladder polyps.Methods:The clinical data of 103 patients with gallbladder polyps who received laparoscopy combined with choledochoscopy treatment in The First People's Hospital of Lianyungang from February 2016 to March 2018 were retrospectively analyzed.Sixty-five patients in the observation group underwent gallbladder wall sutures with absorbable barbed wires,and thirty-eight patients in the control group underwent gallbladder wall sutures with common absorbable wires.The operative time,gallbladder wall suture time,intraoperative blood loss,average hospitalization time,and postoperative bile leakage were compared between the two groups.Results:There were no significant differences in intraoperative blood loss and average hospitalization time between the two groups(P=0.312,P=0.114).In the observation group,gallbladder wall suture time and operative time were(5.58±1.14)minutes and(60.71±11.03)minutes,respectively,which were shorter than(6.32±1.04)minutes and(68.24±9.61)minutes in the control group(t=3.23,3.50,P=0.002,0.001).No bile leakage occurred in the observation group and bile leakage occurred in four(10.5%)patients in the control group.There was a significant difference in bile leakage between the observation and control groups(χ^(2)=4.57,P=0.032).Conclusion:Absorbable barbed wires for gallbladder wall sutures during operation in laparoscopy combined with choledochoscopy treatment of gallbladder polyps is safe and feasible.It can markedly shorten gallbladder wall suture time and operative time,decrease the incidence of bile leakage,and has a clinical advantage over common absorbable wires.

关 键 词：胆囊疾病 息肉 腹腔镜 胆道镜 缝线 缝合技术 手术时间 胆瘘 

分 类 号：R657.4[医药卫生—外科学]