腹腔镜外科杂志2013，Vol.18Issue(7)：524-526,3.
腹腔镜胆总管切开取石一期缝合术治疗胆总管结石53例分析
Analysis of laparoscopic choledocholithotomy and primary suture in the treatment of fifty-three patients with choledocholithiasis
刘东斌 1刘家峰 1徐大华 1王悦华 1仝小刚 1郑亚民 1蔡伟 1张小丽 1王会元1
作者信息
- 1. 首都医科大学普通外科学系,首都医科大学宣武医院,北京,100053
- 折叠
摘要
Abstract
Objective:To explore the feasibility and security for laparoscopic common bile duct exploration and primary suture (LBEPS) in the treatment of common bile duct stones.Methods:The clinical data of 53 patients with common bile duct stones and gallbladder stones who were treated by laparoscopy and choledochofiberscope from Dec.2009 to Aug.2012 were analyzed retrospectively.All the patients underwent laparoscopic cholecystectomy combined with common bile duct exploration,removal of stone through choledochoscope and stones retrieval basket,and primary suture of common bile duct.Results:Ninety-eight point one percent patients (52/53) were treated by LBEPS successfully.Only one case was converted to laparotomy and indwelling T-tube.The mean operative time was (89.1 ± 46.3) min,the blood loss was (35 ± 24.9) ml,the postoperative hospital stay was (6.7 ± 3.1) d,three cases suffered from bile leakage,one case was re-operated.Postoperative follow-up was 4 months to 2 years,one case had residual common bile duct stones.Conclusions:Under the premise of strict grasping surgical indication,seriously preoperative imaging evaluation,skillful choledochoscope technology and precise suture,it is safe and feasible for LBEPS to treat the patients with common bile duct stones.关键词
胆总管结石/胆总管切开取石术/一期缝合/腹腔镜检查/胆道镜检查Key words
Choledocholithiasis/Choledocholithotomy/Primary suture/Laparoscopy/Choledochoscopy分类
医药卫生引用本文复制引用
刘东斌,刘家峰,徐大华,王悦华,仝小刚,郑亚民,蔡伟,张小丽,王会元..腹腔镜胆总管切开取石一期缝合术治疗胆总管结石53例分析[J].腹腔镜外科杂志,2013,18(7):524-526,3.
