摘要
目的 :探讨微创探查胆总管一期缝合的技术及适应证。方法 :选择 10 2例患者做右上腹肋缘下 4～ 6cm长切口开腹 ,切开胆总管后用纤维胆管镜检查及取石 ,一期缝合胆总管。结果 :全组无一例漏胆、胆总管损伤、术后出血及死亡。 94例 (92 2 % )获 1～ 8年随访 ,无一例胆管狭窄。结论
Objective:To evaluate the indication and technology of the miniature incision for exploration of the common bile duct(CBD).Methods:We selected 102 cases,The incision was 4-6 cm of the right costal margin,they were dignosed and treated CBD stone with choledochoscopy,they were resived primary suture CBD.Results:There were no leak bile,biliary duct injury,massive haemorrhage and died in this group.There were no narrow CBD in 94(92.2%)cases throughout the followup period for 1-8 years.Conclusion:The primary suture miniature incision with fibroscope exploration CBD is a safe way.
关键词
胆总管探查
一期缝合术
微创手术
The miniature incision
Exploration of the common bile duct
Primary Suture
