肝胆胰外科杂志2017，Vol.29Issue(6)：449-452,4.DOI:10.11952/j.issn.1007-1954.2017.06.003
腹腔镜下胆总管切开取石术中一期缝合与T管引流治疗效果对比
Analysis of therapeutic effects between primary duct closure and T-tube drainage after laparoscopic common bile duct exploration
张秋涛 1壮麟 1何伟 1陈岩 1王晓钟 1倪创业 2孙亚伟 1奚栋1
作者信息
- 1. 江苏大学附属武进医院南院 普通外科,江苏 常州 213162
- 2. 南京医科大学第一附属医院 肝胆外科,江苏 南京 210029
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy between primary duct closure and T-tube drainage after laparoscopic common bile duct exploration, and to discuss the feasibility of primary duct closure. Methods Retrospective analysis was performed on 71 patients who admitted in the Changzhou Wujin People's Hospital from Jan. 2014 to Jun. 2016. Patients were divided into primary duct closure group (n=33) and T-tube drainage group (n=38). Operation duration, intra-operative blood loss, postoperative hospitalization duration, hospitaliza-tion expense and rate of postoperative complications between two groups were compared. Results The level of Na+ after surgery [(138.76±2.57) mmol/L vs (134.99±3.15) mmol/L, P<0.05], postoperative gastrointestinal recovery time [(2.33±0.66) d vs (3.15±0.88) d, P<0.05], postoperative hospitalization duration [(8.38±3.20) d vs (10.80±1.44) d, P<0.05] and hospitalization expense [(1.87±0.46)×104 RMB vs (2.27±0.68)×104 RMB, P<0.05] showed significant differences between primary duct closure group and T-tube drainage group; 3 cases of bile leakage occurred in each group (P=0.857), no residual stones or biliary stricture was found in either group. Con-clusion With appropriate indications, primary duct closure after laparoscopic common bile duct exploration is safe and reliable, which can reduce the loss of electrolyte, enhance the recovery of patients, shorten postoperative hospital stay and lighten up economic burdens, it is worth to be applied in clinic.关键词
胆总管结石/腹腔镜/一期缝合/T管引流Key words
choledocholithiasis/laparoscopy/primary closure/T-tube drainage分类
医药卫生引用本文复制引用
张秋涛,壮麟,何伟,陈岩,王晓钟,倪创业,孙亚伟,奚栋..腹腔镜下胆总管切开取石术中一期缝合与T管引流治疗效果对比[J].肝胆胰外科杂志,2017,29(6):449-452,4.
