腹腔镜胆总管切开取石一期缝合术50例临床分析

Clinial analysis of 50 cases primary closure following laparoscopic common bile duct exploration

目的探讨腹腔镜胆总管切开取石一期缝合术的可行性及适应症。方法回顾分析2006年5月至2013年6月为50例患者行腹腔镜胆总管切开取石一期缝合术的临床资料。结果 50例手术均获成功,手术时间70～240 min,平均105 min。术后住院6～21 d,平均11 d。5例胆漏,胆漏量20～100 ml。引流4～8 d后拔管,余均无严重并发症反生,随访未见结石残留、胆管狭窄。结论在正确掌握手术适应症及注意手术操作的前提下,有选择地开展腹腔镜胆总管切开取石一期缝合术是安全、可行的。

Objective To investigate the feasibility and indications of primary closure following Laparoscopic common bile duct exploration（ LCBDE）. Methods From May 2006 to June 2013,clinical data of 50 patients. undergoing primary closure following LCBDE were restrospectively analyzed. Results 50 cases operations were successful. Mean operation time was（ 70 ～ 240） min,range105 min.. postoperative hospital stay was 6 ～ 21 d,range 11 d,5 patients suffered from bile. Leakage whose volume was 20 ～ 100 ml,and bile leakage disappeared after 4 ～ 8d drainage. No other serious complication occurred. No retained caculi or biliary stenosis was found during the follow-up period. Conclusious primary closure following LCBDE would be feasible and safe under suitable condition.