| 三孔法腹腔镜胆总管探查I期缝合的临床应用 |
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| 引用本文： | 孙冬林,陈学敏,杨春,张丰,杨岳,杨波. 三孔法腹腔镜胆总管探查I期缝合的临床应用[J]. 中国现代普通外科进展, 2010, 13(9): 698-700. DOI: 10.3969/j.issn.1009-9905.2010.09.009 |
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| 作者姓名： | 孙冬林 陈学敏 杨春 张丰 杨岳 杨波 |
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| 作者单位： | 苏州大学医学院附属常州市第一人民医院,腹腔镜治疗中心,江苏,常州,213003 |
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| 摘 要： | 目的：探讨三孔法腹腔镜胆总管探查I期缝合的可行性和临床价值。方法：回顾分析2009年3月—2010年4月施行三孔法腹腔镜胆总管探查I期缝合术32例患者的临床资料。结果：32例手术均获成功,无一例中转开腹,2例术后出现胆汁漏,腹腔引流3～7d治愈。术后平均住院5d,均无残留结石和严重并发症发生。结论：三孔法腹腔镜胆总管探查I期缝合术操作简便、易行、安全、有效,患者创伤小、康复快,值得临床推广应用。
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| 关 键 词： | 腹腔镜检查 胆总管探查术 Ⅰ期缝合 三孔法 |
Clincal application of primary suture of three ports laparoscopic common bile duct exploration |
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| SUN Dong-lin,CHEN Xue-min,YANG Chun,ZHANG Feng,YANG Yue,YANG Bo. Clincal application of primary suture of three ports laparoscopic common bile duct exploration[J]. Chinese Journal of Current Advances in General Surgery, 2010, 13(9): 698-700. DOI: 10.3969/j.issn.1009-9905.2010.09.009 |
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| Authors: | SUN Dong-lin CHEN Xue-min YANG Chun ZHANG Feng YANG Yue YANG Bo |
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| Affiliation: | Department of Surgery,the First People＇s Hospital of Changzhou,Suzhou University (Changzhou 213003,China) |
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| Abstract: | Objective：To investigate the feasibility and the clinical value of primary suture of 3-port LCBDE.Methods：The clinical data of 32 patients treated by primary suture of 3-port LCBDE were retrospectively analyzed from March 2009 to April 2010.Cholelithotomy was conducted with choledochoscope.Results：Thirty-two cases were performed successfully and none was converted to open surgery.Postoperative bile leakage occurred in 2 cases and was cured with abdominal drainage for3 to 7 days.The mean postoperative hospital stay was 5 days.No severe complications and residual stone occurred.Conclusions：Primary suture of 3-port laparoscopic common bile duct exploration is easy,safe,dependable,effective,mini-invasive,and of quick recovery,which is worth furtherclinical application. |
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| Keywords: | Laparoscopy·Choledocholith·One-stage suture·Three port |
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