CAJ | 학술논문

目的　探讨胆总管切开探查取石后不放置“T”形管的可行性及临床适应证。　方法　在动物实验的基础上，选择258例患者于胆总管切开探查取石后不放置“T”形管，并与传统的放置“T”形管法进行比较。　结果　不放置“T”形管组的患者术后住院时间平均为7.5d，放“T”形管者为16d；不放置“T”形管的患者避免了“T”形管引起的诸多并发症。　结论　在正确掌握适应证的前提下，胆总管切开探查后以不放置“T”形管为好。
목적　탐토담총관절개탐사취석후불방치“T”형관적가행 성급림상괄응증。　방법　재동물실험적기 출상，선택258례환자우담총관절개탐사취석후불방치“T”형관，병여전통적방치“T”형 관법진행비교。　결과　불방치“T”형관조 적환자술후주원시간평균위7.5d，방“T”형관자위16d；불방치“T”형관적환자피 면료“T”형관인기적제다병발증。　결론　재정학장악괄응증적전제하，담총관절개탐사후이불방치“T”형관위호。
Objective　To evaluate the rationale and indicati ons for primary suture of the incision without the placement of a T tube after c holedochotomy.　Methods　258 patient s undergoing choledochotomy for gallstone extraction received primary suture on the incision of the common bile duct without a T tube placement when it was iden tified that there were not residual stones.Result was compared with that of trad itional procedure. 　Results　Postope rative hospital stay was averagely 7.5 days, compared to 16 days in patients wi th a T tube drainage.Complications often seen in T-tube drainage were avoided .　Conclusion　　When properly applied , primary suture on the incision of CBD is safe, less traumatic, and indicative for patients undergoing negative choledochotomy or in which no stones, nor end s tricture of the CBD could be identified.