CAJ | 학술논문

目的探讨腹腔镜下胆总管探查取石一期缝合术的可行性、指证及技术要点.方法对我院50例腹腔镜下胆总管切开探查一期缝合的患者的临床资料进行回顾性分析.结果全部手术成功,并发胆漏3例(发生率6%),2例少许胆漏,引流2～3天愈合,1例放置鼻胆管引流后愈合.随访3个月～1年,未见结石残留及胆管狭窄.结论应用腹腔镜胆总管切开取石一期缝合术治疗胆管结石具有创伤小、住院时间短及并发症少的优点,对符合适应证的患者是一种安全、有效的手术治疗方式,但应掌握操作技巧以提高手术成功率,防止胆漏.
목적 탐토복강경하담총관탐사취석일기봉합술적가행성、지증급기술요점.방법 대아원50례복강경하담총관절개탐사일기봉합적환자적림상자료진행회고성분석.결과 전부수술성공,병발담루3례(발생솔6%),2례소허담루,인류2～3천유합,1례방치비담관인류후유합.수방3개월～1년,미견결석잔류급담관협착.결론 응용복강경담총관절개취석일기봉합술치료담관결석구유창상소、주원시간단급병발증소적우점,대부합괄응증적환자시일충안전、유효적수술치료방식,단응장악조작기교이제고수술성공솔,방지담루.
Objective To ascertain the feasibility and the technical outline of choledochotomy under laparoscopy with primary closure. Methods 50 cases of cholecystolithiasis patients, all choledochotomy under laparoscopy with primary closure, were collected and analyzed retrospectively. Results All cases were operated successfully, 3 cases of bile leakage occurred, including 2 cases healed after postoperative drainage, 1 case healed after naso-biliary drainage. None cases was found postoperative remained calculi and bile duct stricture in 3 months to 1 year clinical follow-up. Conclusion It is concluded that the whole procedures of choledochotomy under laparoscopy with primary closure are safe with lesser operative trauma and more rapid recovery with minimal uneasiness of the patients,operating skill is the key that operation succeeds and reduces complication of bile leakage.