摘要
Abstract
Objective To investigate the safety and efficacy of the unilateral suture fixation of T-tube in laparoscopic common bile duct exploration(LCBDE).Methods The clinical data of 51 patients with cholecystolithiasis complicated by choledocholithiasis,who underwent LCBDE and the T-tube drainage in the Third People's Hospital of Henan Province from January 2018 to December 2023,were retrospectively analyzed.The patients were divided into two groups according to the T-tube fixation method,Group A received the unilateral suture fixation of T-tube(T-tube was placed at the cephalic end of the common bile duct incision,and the caudal end of the common bile duct incision was sutured)(n=30);Group B received the bilateral suture fixation of T-tube(T-tube was placed in the middle of the common bile duct incision,and both the cephalic and caudal ends of the common bile duct incision were sutured)(n=21).The general conditions of patients,intraoperative blood loss,total operation time,postoperative complications related to the T-tube,perioperative liver function and inflammatory indicators,total hospitalization time,total hospitalization cost,and common bile duct stone recurrence rate within 1 year after operation were compared between the two groups.Results The general data of the two groups were comparable.There were no statistically significant differences between the two groups in terms of intraoperative blood loss,total hospitalization time,total hospitalization cost,incidence of postoperative complications related to the T-tube,levels of perioperative liver function and inflammatory indicators,and common bile duct stone recurrence rate within 1 year after operation(P>0.05).The total operation time of Group A was significantly shorter than that of Group B[(152.33±32.79)min vs(183.57±38.86)min,t=-3.102,P=0.003].Conclusion The application of unilateral suture fixation of T-tube in LCBDE for common bile duct stones is safe and effective.It can reduce the overall difficulty of the operation,shorten the operation time,and does not increase the incidence of postoperative complications related to the T-tube.关键词
胆囊结石/胆总管结石/腹腔镜手术/胆总管探查术/单侧缝合固定/T管引流Key words
cholecystolithiasis/choledocholithiasis/laparoscopy/common bile duct exploration/unilateral suture fixation/T-tube drainage分类
医药卫生
