腹腔镜联合胆道镜胆总管探查一期缝合术研究

 目的 观察腹腔镜联合胆道镜胆总管探查一期缝合术的效果.方法 74例胆总管结石患者行腹腔镜下胆道探查术,其中34例行腹腔镜下胆总管切开取石一期缝合术,40例行腹腔镜下胆总管切开取石T管引流术,对比两组手术效果.结果 患者下床活动时间、肛门排气时间、术后住院时间、补液量、肝功能恢复情况以及住院费用,两组比较差别有显者性意义(P<0.05); 手术时间、术中出血量、术后进食时间、术后胆漏、腹腔引流时间,两组比较差别无显著意义(P>0.05).结论 腹腔镜胆总管切开取石一期缝合术具有创伤小、恢复快、住院时间短、并发症少等优点,是一种安全、有效的方法,值得推广应用.

Clinical application of primary suture in laparoscopic common bile duct exploration combined with choledochoscopy

Objective To investigate the clinical effects of primary suture in laparoscopic common bile duct exploration combined with choledochoscopy.Methods Seventy-four choledocholithiasis patients underwent laparoscopic common bile duct exploration,of whom 34 received laparoscopic common bile duct exploration and primary suture,and 40 received laparoscopic common bile duct exploration and T-tube drainage,and the operative effect of the two groups was compared.Results The time of starting ambalation,passing flatus,the hospital stay,the volume of fluid infusion the functional recovery of liver,and the cost of hospitalization between the two groups had significant differences postoperatively(P<0.05).The operation time,the bleeding volume,the time to start food intaking,the bile leakage and abdominal drainage time between the two groups had no significant difference(P>0.05).Conclusions Common bile duct exploration under laparoscopy with primary suture has lesser operative trauma and more rapid recovery with minimal uneasiness of the patients.