现代医药卫生2016，Vol.32Issue(18)：2785-2788,2792,5.DOI:10.3969/j.issn.1009-5519.2016.18.002
J管内引流一期缝合在腹腔镜胆总管探查术中的应用
Study on application of J-tube internal drainage and primary suture in laparoscopic common bile duct exploration
摘要
Abstract
Objective To study the feasibility,indications and complications related factors of J-tube drainage and pri-mary suture after laparoscopic common bile duct exploration. Methods The in vitro experiment was performed by the experimen-tal simulation bile environment to study the tension maintenance time of two kinds of absorbable suture (4-0 Vicryl,6-0 Vicryl). The animal experiment by selecting 20 native healthy crossbreed dogs (including the 4-0 Vicryl and 6-0 Vicryl groups,respectively presetting J-tube and conducting the suture fixation) was performed to further study the effective supporting time provided by J-tube in the common bile duct;finally the clinical study (J-tube drainage plus suture fixation) was performed in the patients with common bile duct calculi hospitalized in our hospital from March 2011 to March 2015 for verifying its feasibility and investigating its indications and complications related factors. Results The in vitro complete decomposition of Vicryl 4-0 and Vicryl 6-0 need-ed 56 d and 49 d respectively;the effective supporting time of Vicryl 4-0 for fixing J-tube in animal in vivo was(21.7±3.3)d,which of 6-0 Vicryl was(17.2±2.9)d,the difference between them had no statistical significance(P=0.787);in the clinical study,134 cases of common bile duct calculi were cured and discharged from hospital. Conclusion Conducting the J-tube drainage and pri-mary suture after laparoscopic common bile duct exploration is safe and feasible ,and has a certain application value.关键词
引流术/胆道外科手术/内窥镜检查,消化系统/缝合技术/腹腔镜Key words
Drainage/Biliary tract surgical procedures/Endoscopy,digestive system/Suture techniques/La-paroscopes引用本文复制引用
赵晨晖,越太迁,陈建中,罗亚,陈倩,张孝平,廖东平,成正军..J管内引流一期缝合在腹腔镜胆总管探查术中的应用[J].现代医药卫生,2016,32(18):2785-2788,2792,5.基金项目
重庆市卫生和计划生育委员会面上项目（2009-02-015）。 （）
