腹腔镜胆道探查一期缝合62例临床分析

Feasibility of primary suture of bile duct in laparoscopic bile duct exploration

目的探讨腹腔镜胆道探查一期缝合的可行性及适应证。方法回顾分析62例胆总管探查一期缝合的结果。结果 62例成功行腹腔镜胆道探查一期缝合,平均手术时间130min,平均住院时间5.4d,平均出血量82ml。1例术后胆漏,随访20～24个月,无胆道残余结石、胆道狭窄、胆道感染等并发症。结论只要严格掌握适应证,腹腔镜胆道探查一期缝合是安全可行的,能缩短住院时间,避免放置T管所致的各种并发症。

Objective To study the feasibility and indication of primary suture of bile duct in laparoscopic bile duct exploration.Methods A retrospective analysis was performed on 62 cases of primary suture of bile duct in laparoscopic bile duct exploration.Results The operation was successfully completed in 62 cases,with the mean operation time of 130min and mean intraoperative blood loss of 82 ml.The mean hospital stay after operation was 5.4 days.Postoperative biliary leakage happened in 1 case.Follow-up in all cases for 20～24 months showed no biliary residual stones and no bile duct stenosis and no bile duct infection.Conclusion Primary suture of bile duct in laporoscopic bile duct exploration was safe and feasible in the correct indications with shorter hospitalization and avoid the potentional complication related to the T tube placement.