CAJ | 학술논문

目的：研究腹腔镜下内支架胆肠吻合的安全性与可行性。方法18只小型猪被随机分成两组：一组开腹行间断缝合胆管空肠吻合术（n＝9，对照组），另一组行腹腔镜下内支架胆管空肠吻合术（n＝9，实验组）。结果实验组手术时间为（60.2±3.7）min，对照组为（46.4±4.3）min，实验组手术时间显著长于对照组，差异具有统计学意义（P＜0.05）；术后6个月实验组胆肠吻合口内径为（3.8±0.3）mm，显著大于对照组的（2.9±0.4）mm，两组差异具有统计学意义（P＜0.05）；对照组小型猪发生吻合口狭窄者2例；所有小型猪内支架管都在58d内经肛排出。结论腹腔镜下内支架胆肠吻合安全易行。
목적：연구복강경하내지가담장문합적안전성여가행성。방법18지소형저피수궤분성량조：일조개복행간단봉합담관공장문합술（n＝9，대조조），령일조행복강경하내지가담관공장문합술（n＝9，실험조）。결과실험조수술시간위（60.2±3.7）min，대조조위（46.4±4.3）min，실험조수술시간현저장우대조조，차이구유통계학의의（P＜0.05）；술후6개월실험조담장문합구내경위（3.8±0.3）mm，현저대우대조조적（2.9±0.4）mm，량조차이구유통계학의의（P＜0.05）；대조조소형저발생문합구협착자2례；소유소형저내지가관도재58d내경항배출。결론복강경하내지가담장문합안전역행。
Objective To explore the feasibility and safety of laparoscopic cholangiojejunostomy (CJ) with an intra-anastomotic biliary stent. Methods 18 minipigs with small-caliber bile ducts were randomly divided into two groups. One group performed open CJ with interrupted sutures without any stent (n=9,control group). One group performed laparoscopic CJ with an intra-anastomotic biliary stent(n=9,experimental group). Results The mean operation time of the experimental group was (60.2±3.7) minutes and that of the control group was (46.4±4.3) minutes, the operation time of experimental group was longer than control group,it had significant difference (P<0.05). After 6 months, the CJ caliber of the experimental group was larger(3.8mm±0.3mm) than the control group(2.9mm±0.4mm),it had significant difference(P<0.05). Two cases of the control group occurred anastomotic stricture. All the stents were discharged by anus in 58 days. Conclusion The laparoscopic CJ with an intra-anastomotic biliary sten is easy and safe to perform.