疑难病杂志2012，Vol.11Issue(4)：266-268,3.DOI:10.3969/j.issn.1671-6450.2012.04.010
腹腔镜经胆囊管胆总管探查术后一期缝合治疗肝外胆管结石的临床观察
Clinical observation of primary suture in patients with extrahepatic bile duct concretion after laparoscopic transcystic common bile duct exploration
刘永国 1彭小云 1周玉庆1
作者信息
- 1. 400014,重庆市急救医疗中心肝胆外科
- 折叠
摘要
Abstract
Objective To investigate the clinical effects and feasibility of primary suture in patients with extrahepatic bile duct concretion after laparoscopic transcystic common bile duct exploration ( LTCBDE ). Methods The clinical data of 98 patients with extrahepatic bile duct concretion was retrospectively analyzed from October 2006 to December 2010, 56 cases were received primary suture treatment ( A group ) and 42 cases were received T duct drainage ( B group ). Clinical indicator between intraoperative and postoperative, and occurrence of perioperative complications were observed and compared. Results The anal ventilation time, postoperative fluid volume of the A group were significantly lower than those in the B group( P < 0.05, P <0. 01 ); Operation time and abdominal drainage duration of the two groups didn't have statistical significance (P > 0. 05 ). The postoperative hospital stay, hospital costs and time to resume normal life after surgery of group A were significantly lower than those in the group B( P < 0. 05, P <0.0l). There were no perioperative accident death in the two groups, the operations of the two groups were successful. Postoperative complication rate in A group was 10. 7% , while the B group was 28. 6% , the postoperative complication rate of two group was significantly differen( P <0. 05 ). Conclusion The primary suture after LTCBDE for treating the patients with extrahepatic bile duct concretion was better than conventional T-tube drainage, with the advantage of high operation successful rate, few postoperative complication rate, rapid postoperative recovery and short hospital stay. The surgery could be used as the primary method for treating the extrahepatic bile duct concretion.关键词
腹腔镜经胆囊管胆总管探查术/一期缝合/T管引流/肝外胆管结石Key words
Laparoscopic transcystic common bile duct exploration/Primary suture/ T-tube drainage/ Extrahepatic bile duct concretion引用本文复制引用
刘永国,彭小云,周玉庆..腹腔镜经胆囊管胆总管探查术后一期缝合治疗肝外胆管结石的临床观察[J].疑难病杂志,2012,11(4):266-268,3.
