摘要
目的 探讨腹腔镜胆总管切开取石一期缝合术的临床疗效和手术技巧。方法 对2009年1月-2014年12月经腹腔镜胆总管切开探查取石术并一期缝合的58例患者的临床资料进行回顾性分析。结果 58例均成功完成腹腔镜胆总管切开取石一期缝合术。手术时间45~125 min,平均75 min;术中出血量10~50 m L,平均20 m L;术后住院时间5~14 d,平均7 d。术后出现胆漏4例,均经保守治疗治愈。结论 严格掌握手术适应证,具备熟练的手术技巧,行腹腔镜胆总管切开取石一期缝合术是安全、可靠的,疗效令人满意。
Objective To explore the clinical efficacy and surgical techniques of laparoscopic choledocholithotomy and primary suture. Methods We retrospectively analyzed the clinical data of 58 patients who underwent laparoscopic choledocholithotomy and primary suture between January 2009 and December 2014. Results All the 58 patients underwent the surgery successfully. Operation time was 45-125 minutes, averaging 75 minutes. Intraoperative blood loss was between 10 and 50 mL with an average of 20 mL. Postoperative hospital stay was 5-14 days with an average of 7 days. Four cases of biliary leakage were cured by conservative treatment. Conclusion With operation indications strictly grasped and skillful operation techniques, laparoscopic choledocholithotomy and primary suture are safe and reliable with a good curative effect.
出处
《华西医学》
CAS
2016年第9期1534-1537,共4页
West China Medical Journal
