腹腔镜胆总管探查取石一期缝合疗效的荟萃分析 |
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引用本文: | 沈火剑,季福,李可为,朱宏毅.腹腔镜胆总管探查取石一期缝合疗效的荟萃分析[J].腹腔镜外科杂志,2010,15(9):681-685. |
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作者姓名: | 沈火剑 季福 李可为 朱宏毅 |
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作者单位: | 上海交通大学医学院附属仁济医院,上海,200127 |
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摘 要: | 目的:探讨腹腔镜胆总管探查取石一期缝合的疗效。方法:通过检索Pubmed、Medline数据库,对1990~2009年有关腹腔镜胆总管探查取石一期缝合(包括植入胆道支架一期缝合及直接一期缝合)与腹腔镜胆总管探查取石"T"管外引流病例的对照研究资料进行荟萃分析。结果:共纳入6篇文献,413例患者。分析结果显示,一期缝合组与"T"管外引流组相比,手术时间、术后总体并发症、术后胆道并发症的发生率两组差异均无统计学意义(P〉0.05),但术后住院时间一期缝合组明显短于"T"管外引流组(P〈0.00001)。结论:腹腔镜胆总管探查取石一期缝合安全可行,疗效肯定,而且能明显减少术后住院时间。
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关 键 词: | 胆总管结石 腹腔镜检查 一期缝合 胆道支架 Meta分析 |
The therapeutic effects of primary suture after laparoscopic common bile duct exploration: a meta-analysis |
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Institution: | SHEN Huo-jian,JI Fu,LI Ke-wei,et al.Dept.of General Surgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China |
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Abstract: | Objective:To investigate the therapeutic effects of primary suture following laparoscopic common bile duct exploration.Methods:Meta-analysis was performed to access the effects of primary suture(including primary suture after implantation of biliary stent and directly primary suture) comparing with T-tube drainage following laparoscopic common bile duct exploration by a comprehensive Pubmed and Medline database retrieval from 1990 to 2009.Results:A total of 6 literatures involving 413 patients were retrieved for analysis.There was no significant difference in operating time,postoperatively total complication and biliary tract complications between the primary suture and T-tube drainage groups(P>0.05);Postoperative hospital stay was significantly shorter in the primary suture group than that in the T-tube drainage group(P<0.00001).Conclusions:The primary suture following laparoscopic common bile duct exploration is safe,feasible and effective,and it can significantly reduce postoperative hospital stay. |
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Keywords: | Choledocholithiasis Laparoscopy Primary closure Biliary stent Meta-analysis |
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