【摘要】 目的探讨腹腔镜胆总管一期缝合在胆总管结石病人治疗中应用的可行性、安全性及近期疗效。方法腹腔镜胆总管切开一期缝合27例,同期腹腔镜胆总管切开T管引流24例,比较两组的临床资料及相关指标。结果一期缝合组术后住院时间为(6.03±2.08)天,留置T管组为(9.50±3.48)天,两组比较差异有统计学意义(P<0.05)。两组均有胆漏,其中留置T管组2例,一期缝合组1例;留置T管组术后存在残留结石4例。术后近期随访未出现胆道狭窄及结石再发。结论在严格把握指征的情况下,腹腔镜胆总管一期缝合治疗胆总管结石安全、可行,具有恢复快的优势。更多还原

【Abstract】 Objective To explore the feasibility,safety and short term clinical efficacy of primary suture of common bile duct after laparoscopic choledocholithotomy in patients with common bile duct stones.Methods We retrospectively analyzed the clinical data from 27 cases of the primary suture of common bile duct after laparoscopic choledocholithotomy and 24 cases of T tube drainage after laparoscopic choledocholithotomy.Clinical data were compared between the two groups.Results Compared with T tube drainage after laparoscopic choledocholithotomy[(6.03±2.08)d],the postoperative hospital stay of the primary suture of common bile duct after laparoscopic choledocholithotomy was more short[(9.50±3.48)d,P<0.05).Bile leakage was found in both groups,including 2 cases in the indwelling t-tube group and 1 case in the first-stage suture group.There were 4 cases of residual stones after indwelling T tube group.No biliary stricture and recurrence of stones occurred during the recent follow up of the postoperative patients.Conclusion Under strict indications,the primary suture of common bile duct after laparoscopic choledocholithotomy is safe and feasible in the treatment of patients with common bile duct stones,and has the advantage of quick recovery.更多还原