腹腔镜胆总管探查Ⅰ期缝合术临床应用的分析

目的:对腹腔镜胆总管探查Ⅰ期缝合术的临床应用进行分析,总结其疗效和安全性。方法:随机选取2009年3月-2011年5月年对在我院采取腹腔镜胆总管探查Ⅰ期缝合术的24例患者作为观察组,将15例采取腹腔镜胆囊切除术的患者和18例进行开腹胆总管探查、T管引流术患者作为对照组。结果:进行腹腔镜胆总管探查I期缝合术所花时间平均为(73±23Min),在手术中患者平均出血量为(24.8±4.7)ml;在此期间发生有1例患者发生胆漏。在术后进行的持续3-1年半的随访中未出现胆道残余结石以及胆管狭窄的情况。结论:腹腔镜胆总管探查Ⅰ期缝合手术具有安全、有效、术后复发率低等优点,患者在术后TNF-α的水平较低,促进了患者的恢复。

Objective： exploration suture in the clinical application is analyzed. Methods： selected common bile duct exploration in 24 cases, 15 cases adopted laparoscopic, 18 cases by open common bile duct exploration, T tube drainage for patients as a control group. Results： during operation with average bleeding volume for the （ 24.8 ± 4.7） ml; i patients of bile leakage.3-1 half year follow-up without any residual biliary tract stones and bile duct stricture; I operation HDTT surge after subsequently decreased significantly, TNF alpha levels than the preoperative is obviously decreased. Conclusion：Operation is safe, effective, the recurrence rate is low.