腹腔镜外科杂志2023，Vol.28Issue(12)：911-915,5.DOI:10.13499/j.cnki.fqjwkzz.2023.12.911
腹腔镜胆总管探查术后内引流在细径胆总管结石患者中的应用
Application of intrabiliary drainage after laparoscopic common bile duct exploration in patients with fine diameter common bile duct stones
吴东东 1董浩 1王尚毓 2马富平1
作者信息
- 1. 咸阳市中心医院肝胆外科,陕西 咸阳,712000
- 2. 空军军医大学第一附属医院肝胆外科
- 折叠
摘要
Abstract
Objective:To explore the feasibility and safety of intrabiliary drainage in patients with fine diameter common bile duct stones after laparoscopic choledocholithotomy.Methods:The clinical data of 112 patients with fine diameter common bile duct stones combined with gallbladder stones admitted from Jan.2019 to Dec.2021 were retrospectively analyzed.According to different bili-ary drainage methods,patients were divided into internal drainage group(n=52)and external drainage group(n=60).The preopera-tive baseline data,intraoperative and postoperative related indicators of the two groups were compared.Results:There was no statistically significant difference between the two groups in preoperative baseline data,surgical time,intraoperative blood loss,drainage retention time,total hospitalization cost,postoperative biliary leakage,and residual stone incidence(P>0.05).Compared with the external drai-nage group,the internal drainage group had faster postoperative exhaust[(2.4±0.8)d vs.(3.4±0.9)d],shorter postoperative hospi-tal stay[(7.4±0.8)d vs.(10.4±0.9)d],and lower incidence of postoperative electrolyte disturbances(1 vs.8),with statistically significant differences(P<0.05).Conclusions:The application of intrabiliary drainage after laparoscopic common bile duct exploration is safe and feasible,which can reduce the occurrence of postoperative electrolyte disorders and accelerate the postoperative recovery of patients.关键词
胆总管结石病/胆总管探查/腹腔镜检查/内引流/细胆总管Key words
Choledocholithiasis/Common bile duct exploration/Laparoscopy/Intra-biliary drainage/Common bile duct with fine diameter分类
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吴东东,董浩,王尚毓,马富平..腹腔镜胆总管探查术后内引流在细径胆总管结石患者中的应用[J].腹腔镜外科杂志,2023,28(12):911-915,5.
