CAJ | 학술논문

目的：探讨联合应用腹腔镜、胆道镜胆道探查取石术后一期缝合胆总管治疗胆总管结石的临床经验.方法回顾性分析2010年8月至2012年12月间四川省人民医院温江分院外一科实施腹腔镜、胆道镜胆总管探查取石术后一期缝合胆总管治疗胆总管结石患者53例，不置T管引流．结果手术成功53例（100%），手术时间100～180 min，术后住院时间6～12 d，发生胆漏4例（7.5%），经腹腔引流治愈，所有病例随访2～14个月，无胆漏、胆管狭窄、胆道出血及残余结石发生．结论在严格掌握手术适应证的条件下，腹腔镜联合胆道镜胆总管切开取石术后一期缝合治疗胆总管结石是安全、有效、更加微创、康复更快的治疗方法.
목적：탐토연합응용복강경、담도경담도탐사취석술후일기봉합담총관치료담총관결석적림상경험.방법회고성분석2010년8월지2012년12월간사천성인민의원온강분원외일과실시복강경、담도경담총관탐사취석술후일기봉합담총관치료담총관결석환자53례，불치T관인류．결과수술성공53례（100%），수술시간100～180 min，술후주원시간6～12 d，발생담루4례（7.5%），경복강인류치유，소유병례수방2～14개월，무담루、담관협착、담도출혈급잔여결석발생．결론재엄격장악수술괄응증적조건하，복강경연합담도경담총관절개취석술후일기봉합치료담총관결석시안전、유효、경가미창、강복경쾌적치료방법.
Objective Discuss the clinical experience of laparoscopic common bile duct exploration and primary suture in operation for choledocholithiasis. Methods From August 2010 to December 2012, 53 patients with choledocholithiasis were treated with laparoscopic common bile duct exploration and primary suture laparoscopic common bile duct exploration and primary suture,not T tube drainage in Dept. of General Surgery First,Wenjiang branch courts of Sichuan provincial people's hospital. Their clinical data were selected and retrospectively analyzed. Results 53 cases have successfully operated (100%), the operated time was 100-180 minutes, and the postoperative hospitalization time was 6-12 days. 4 cases occured bile leakage (7.5%), but they were cured through abdominal cavity drainage. All the patients were follow-up visited in 2-14 months. There was no bile leakage, bile duct stenosis, bile duct bleeding or residual calculi. Conclusion Under the strict conditions for mastering operative indications, laparoscopic common bile duct exploration and primary suture is a safe, effective, more minimally invasive, faster recovery treatment for choledocholithiasis.