中国普通外科杂志2013，Vol.22Issue(2)：140-144,5.DOI:10.7659/j.issn.1005-6947.2013.02.003
腹腔镜胆总管探查术后一期缝合与T管留置的疗效比较
Primary closure versus T-tube drainage after laparoscopic common bile duct exploration
王贵阳 1李可为 1李甫 1修鹏 1张晞文 1季福 1王坚 1施维锦1
作者信息
摘要
Abstract
Objective: To compare the effects of primary closure and T-tube drainage following laparoscopic common
bile duct exploration (LCBDE).
Methods: The clinical data of 71 patients who underwent LCBDE for stone extraction from January 2011 to August 2012 were retrospectively analyzed. Of the 71 patients, 39 cases underwent primary closure (suture group) and 32 cases received T-tube drainage (drainage group) after LCBDE. The intra- and postoperative conditions between the two groups were compared.
Results: There were no significant differences between the two groups in the operative time, length of postoperative hospital stay and time to liquid intake (all P>0.05), but abdominal drainage time and hospital costs in suture group were significantly lower than those of drainage group (both P<0.05). The incidences of postoperative complications such as bile leakage, cholangitis and retained stones between the two groups showed no statistical difference (P>0.05). No bile duct stricture or death occurred in either group.
Conclusion: Primary closure has reduced duration of postoperative drainage and hospital cost compared with T-tube drainage following LCBDE, and thus, it could be proposed as the method of first choice under appropriate indications.关键词
胆结石/外科学/胆总管探查术,腹腔镜/一期缝合/T管引流Key words
Cholelithiasis/surg/Common Bile Duct Exploration, Laparoscopic/Primary Closure/T-tube Drainage分类
医药卫生引用本文复制引用
王贵阳,李可为,李甫,修鹏,张晞文,季福,王坚,施维锦..腹腔镜胆总管探查术后一期缝合与T管留置的疗效比较[J].中国普通外科杂志,2013,22(2):140-144,5.
