| 腹腔镜胆总管切开取石一期缝合术23例报告 |
| |
| 引用本文： | 王贵阳,李可为,李甫,季福,王坚,施维锦.腹腔镜胆总管切开取石一期缝合术23例报告[J].腹腔镜外科杂志,2012,17(6):435-437. |
| |
| 作者姓名： | 王贵阳 李可为 李甫 季福 王坚 施维锦 |
| |
| 作者单位： | 上海交通大学医学院附属仁济医院,上海,200127 |
| |
| 摘 要： | 目的:探讨腹腔镜胆总管切开取石一期缝合术的可行性及应用价值。方法:回顾分析2011年1月至2012年2月为23例患者行腹腔镜胆总管切开取石一期缝合术的临床资料。结果:23例手术均获成功,手术时间60～230 min,平均(106±36)min;总住院时间6～23 d,平均(10.3±3.8)d;术后住院5～20 d,平均(7.3±3.2)d。术后2例发生胆漏,经通畅引流保守治疗均痊愈。经随访未见结石残留、胆管狭窄。结论:在正确掌握手术适应证及注意手术操作的前提下,有选择性地开展腹腔镜胆总管切开取石一期缝合术是安全可行的。
|
| 关 键 词： | 胆总管结石 腹腔镜检查 胆总管探查术 一期缝合 |
Primary closure following laparoscopic common bile duct exploration:a report of 23 cases |
| |
| Institution: | WANG Gui-yang,LI Ke-wei,LI Fu,et al.Department of General Surgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China |
| |
| Abstract: | Objective:To investigate the feasibility and application value of primary closure following laparoscopic common bile duct exploration(LCBDE).Methods:From Jan.2011 to Feb.2012,clinical data of 23 patients undergoing primary closure following LCBDE were retrospectively analyzed.Results:The success rate of surgery was 100%.Mean operation time was(106±36) min(range,60-230 min).Total hospital stay was 6-23 d mean(10.3±3.8) d].Postoperative hospital stay was 5-20 d with a mean of(7.3±3.2) d.Bile leakage was found in 2 patients and was cured by drainage.No retained calculi or biliary stenosis was found during the follow-up period.Conclusions:Primary closure following LCBDE would be feasible and safe under suitable conditions. |
| |
| Keywords: | Choledocholithiasis Laparoscopy Common bile duct exploration Primary suture |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
