腹腔镜胆总管一期缝合术治疗胆总管结石合并急性胰腺炎的安全性对比研究  

Comparative Study on Safety of Laparoscopic Primary Suture of Common Bile Duct for Common Bile Duct Calculi Combined with Acute Pancreatitis

作　　者：袁琮玮 戴玮[1] 袁建毛 YUAN Congwei;DAI Wei;YUAN Jianmao(Department of Hepatobiliary Pancreatic Spleen Surgery,Soochow University Affiliated Suzhou City the Ninth People's Hospital,Suzhou,Jiangsu 215200)

机构地区：[1]苏州大学附属苏州市第九人民医院肝胆胰脾外科,江苏苏州215200

出　　处：《智慧健康》2024年第28期77-81,共5页Smart Healthcare

摘　　要：目的对比分析腹腔镜下不同手术方式治疗胆总管结石合并急性胆源性胰腺炎的有效性及安全性。方法选取2019年3月—2022年12月本院收治的53例胆总管结石合并胆源性胰腺炎的患者为研究对象,所有患者均接受腹腔镜下胆总管探查取石手术,根据胆总管探查方式将其分为T管引流术组(26例)和一期缝合组(27例)。结果53例患者均顺利完成腹腔镜下胆总管探查术,术后均无胆漏、梗阻性黄疸、术后出血、胆管炎、胰腺炎发生。结论腹腔镜下胆总管切开取石一期缝合术治疗合并急性胆源性胰腺炎的胆总管结石患者是有效且安全的,在胆总管及胆道内条件允许的情况下,腹腔镜下胆总管切开取石一期缝合术可以作为治疗合并急性胆源性胰腺炎的胆总管结石患者的首选手术方式。Objective To compare and analyze the effect and safety of different laparoscopic surgical methods for common bile duct calculi combined with acute biliary pancreatitis.Methods The paper chose 53 patients with common bile duct calculi complicated with biliary pancreatitis in our hospital from March 2019 to December 2022 as study subjects,treated with laparoscopic stone exploration and removal surgery including T-tube drainage group and primary suture group.Results 53 cases completed laparoscopic exploration of common bile duct successfully,including 26 cases of T-tube drainage and 27 cases of primary suture group.There were no cases of bile leakage,obstructive jaundice,postoperative bleeding,cholangitis,or pancreatitis after surgery.Conclusion Laparoscopic choledochotomy and primary suture is effective and safe for common bile duct calculi patients with acute biliary pancreatitis.When conditions of common bile duct and biliary tract permit,laparoscopic choledochotomy and primary suture can be the preferred surgical method for patients with common bile duct calculi and acute biliary pancreatitis.

关 键 词：胆总管结石 急性胆源性胰腺炎 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]