【摘要】 目的　探讨腹腔镜胆总管探查手术后胆总管切口的处理方法 ,免除患者术后带T型管的痛苦。方法　选择腹腔镜胆总管切开探查术的 2 0例患者在取出结石或蛔虫后Ⅰ期缝合胆总管 ,其中 2层缝合 17例 ,1层缝合 3例。结果　 2 0例均成功完成手术 ,手术时间 45～ 170min ,平均 12 6min ,术后平均 6d(3～ 10d)出院 ,18例患者取出 0 6～ 2 9cm结石 1～ 6粒 ,2例患者分别取出死蛔虫 1、2条。 1层缝合 1例出现轻度胆汁渗漏。结论　腹腔镜胆总管切开探查后选择性行胆管Ⅰ期缝合是安全的 ,术后患者出院早、痛苦小 ,恢复快 ;二层缝合可减少胆汁渗漏机会。更多还原

【Abstract】 Objective[WT5”BZ] To study the rationale of primary suture of the incision on common bile duct (CBD)without the use of T-tube after laparoscopic CBD exploration(LCBDE).[WT5”HZ] Methods[WT5”BZ] The incision on CBD of 20 cases were primarily sutured after removing stones or ascarid by laparoscopic procedure from Jun.1996 to Sep.1999. 17 cases had a two-layer-suture for CBD incision, and 3 cases had a one-layer.[WT5”HZ] Results[WT5”BZ] All cases were operated on successfully. The operation time averaged 126 (45～170) min. The average length of postoperative hospital stay was 6 (3～10) days. 1～6 calculus (0 6～2 9*!cm) in 18 cases and 1～2 ascarid in two cases were taken out. There were no mortality nor severe complications. One case with one-layer-suture had slight biliary fistula and was cured conservatively.[WT5”HZ] Conclusions[WT5”BZ] It was found that primary suture of CBD after LCBDE is safe[CM(43] withadvantage of short postoperative stay, less pain and rapid recovery, and the two layer′s suture of CBD can further decrease the risk of postoperative biliary fistula. [WT5”HZ]更多还原