CAJ | 학술논문

目的：探讨腹腔镜胆总管探查治疗胃大部切除毕Ⅱ式吻合术后胆管结石的安全性、可行性及手术技巧。方法将30例胃大部切除毕Ⅱ式吻合术后胆管结石患者分为腹腔镜组与开腹组，比较两组的临床特征及围手术期差异。结果两组患者术前临床特征无显著差异（P＞0．05），腹腔镜组手术时间较开腹组稍长，但差异无统计学意义（P＞0．05），腹腔镜组在术中出血、术后进食时间、排气时间、引流管拔除时间、出院时间均优于开腹组（P＜0．01）。结论对于胃大部切除毕Ⅱ式吻合术后的患者腹腔镜胆总管探查是安全、可行、有效的治疗方式。
목적：탐토복강경담총관탐사치료위대부절제필Ⅱ식문합술후담관결석적안전성、가행성급수술기교。방법장30례위대부절제필Ⅱ식문합술후담관결석환자분위복강경조여개복조，비교량조적림상특정급위수술기차이。결과량조환자술전림상특정무현저차이（P＞0．05），복강경조수술시간교개복조초장，단차이무통계학의의（P＞0．05），복강경조재술중출혈、술후진식시간、배기시간、인류관발제시간、출원시간균우우개복조（P＜0．01）。결론대우위대부절제필Ⅱ식문합술후적환자복강경담총관탐사시안전、가행、유효적치료방식。
Objective To evaluate the safety,feasibility and surgical techniques of laparoscopic com-mon bile duct exploration for patients with bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy. Methods Thirty cases of bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy were randomly di-vided into laparoscopic group and laparotomy group.Clinical characteristics and perioperative differences were compared between groups.Results There were no differences in preoperative clinical data between the two groups(P>0.05).Operative time of laparoscopic group was slightly longer than laparotomy group without sig-nificance(P >0.05).Blood loss,time of postoperative feeding,exhaust time,extubation time and hospital stay in the laparoscopic group were all less than those in the laparotomy group(P<0.01).Conclusion Laparo-scopic common bile duct exploration is safe,feasible and effective for patients with bile duct stones after gas-trectomy and BillrothⅡgastrojejunostomy.