肝胆胰外科杂志2017，Vol.29Issue(6)：453-456,4.DOI:10.11952/j.issn.1007-1954.2017.06.004
胆肠吻合术对胆总管结石合并0ddi括约肌关闭不全的临床效果研究
Clinical effect of Roux-Y hepaticojejunostomy for choledocholithiasis combined with sphincter of Oddi insufficiency
周红兵 1杨兴业 1陈曦 1袁寅1
作者信息
- 1. 泰州市人民医院 肝胆外科,江苏 泰州 225300
- 折叠
摘要
Abstract
Objective To discuss the clinical effect of extrahepatic bile duct resection+Roux-Y hepaticojeju-nostomy and laparoscopic cholecystectomy+laparoscopie common bile duct exploration in treatment of choledo-cholithiasis combined with sphincter of Oddi insufficiency. Methods A total of 62 patients with choledocholithi-asis and sphincter of Oddi insufficiency were collected from Jan. 2013 to Jan. 2014 in Taizhou People's Hospital. Among them, 41 cases were treated with extrahepatic bile duct resection+Roux-Y hepaticojejunostomy, and the other 21 cases were treated with laparoscopic cholecystectomy+laparoscopie common bile duct exploration. The incidence of postoperative complications between the two groups was compared, and the long-term complications between the two groups were also followed-up. Results There was no significant difference in the incidence of short-term post-operative complications (bile leakage, wound infection, and residual stones) between the two groups (P>0.05). The rate of lithic recurrence was 2.44% (1/40) in the Roux-Y hepaticojejunostomy group, and 38.1% (8/13) in the LC+LCDBE group, the difference was statistically significant (P<0.05). Conclusion When sphincter of Oddi insufficiency was clear during the choledochoscopy exploration, vasomotor function founda-mently lose, and the common bile duct obviously dilatates, we should choose the treatment of extrahepatic bile duct resection plus Roux-Y hepaticojejunostomy, to reduce the lithic recurrence rate after operation and improve the quality of life.关键词
胆总管结石/0ddi括约肌关闭不全/胆肠Roux-Y吻合术/腹腔镜胆总管切开取石术Key words
choledocholithiasis/sphincter of Oddi insufficiency/Roux-Y hepaticojejunostomy/laparoscopic common bile duct exploration分类
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周红兵,杨兴业,陈曦,袁寅..胆肠吻合术对胆总管结石合并0ddi括约肌关闭不全的临床效果研究[J].肝胆胰外科杂志,2017,29(6):453-456,4.
