摘要
Abstract
Objective To analyze the incidence of biliary complications in patients with cholecystolithiasis and calculus of common bile duct after laparoscopic common bile duct exploration(LCBDE)with one-stage suture,and explore the high-risk factors of its occurrence,and then put forward targeted prevention strategies.Methods The clinical data of 201 patients with cholecystolithiasis and calculus of common bile duct after LCBDE with one-stage suture in our hospital from January 2020 to April 2024 were retrospectively analyzed.After 3 months of follow-up,the incidence of postoperative biliary complications was observed,and the clinical data of patients in the biliary complications group and the non-biliary complications group were analyzed.The factors with statistically significant differences were included in the multivariate Logistic regression model to analyze the independent risk factors affecting the occurrence of patients with cholecystolithiasis and calculus of common bile duct after LCBDE with one-stage suture.Results Among the 201 patients,12 had biliary tract infection,5 had common bile duct stenosis,and 13 had bile leakage.The total incidence of biliary complications was 14.93%(30/201).Multivariate Logistic regression analysis showed that diabetes mellitus((OR)=1.092,95%CI:1.040～1.147),common bile duct diameter<1 cm((OR)=1.097,95%CI:1.053～1.144),stone incarceration at the lower end of common bile duct((OR)=1.120,95%CI:1.062～1.180),Calot triangle adhesion((OR)=1.099,95%CI:1.042～1.158),bile turbidity((OR)=1.082,95%CI:1.043～1.123)and operation time≥2 h((OR)=1.090,95%CI:1.044～1.138)were independent risk factors for patients with cholecystolithiasis and calculus of common bile duct after LCBDE with one-stage suture(P<0.05).Conclusion The risk of patients with cholecystolithiasis and calculus of common bile duct after LCBDE with one-stage suture is high.The occurrence of complications is related to diabetes mellitus,common bile duct diameter<1 cm,stone incarceration at the lower end of the common bile duct,Calot triangle adhesion,bile turbidity and operation time≥2 h.Targeted prevention strategies can be formulated clinically to prevent the occurrence of biliary complications.关键词
胆囊结石/胆总管结石/腹腔镜胆总管探查术(LCBDE)/一期缝合术/胆道并发症/高危因素/预防策略Key words
cholecystolithiasis/calculus of common bile duct/laparoscopic common bile duct exploration(LCBDE)/one-stage suture/biliary complications/high-risk factors/prevention strategies分类
临床医学
