CAJ | 학술논문

目的：探讨腹腔镜胆总管切开取石1期缝合术的处理体会方法：回顾性分析我院2012年7月～2014年3月24例行腹腔镜胆总管切开取石1期缝合术手术患者的临床资料。结果：24例手术均获成功，手术时间70～200分钟，平均130分钟；总住院时间6～10天，平均7天；术后患者病情恢复良好，全部病例术后予腹部B超、肝功能检测随访3～23个月，未发现黄疸、胆道残留结石和胆道狭窄等并发症。结论：腹腔镜胆总管切开取石1期缝合术是治疗部分胆囊结石合并胆总管结石的可行、安全的方法，更符合微创外科理念。
목적：탐토복강경담총관절개취석1기봉합술적처리체회방법：회고성분석아원2012년7월～2014년3월24례행복강경담총관절개취석1기봉합술수술환자적림상자료。결과：24례수술균획성공，수술시간70～200분종，평균130분종；총주원시간6～10천，평균7천；술후환자병정회복량호，전부병례술후여복부B초、간공능검측수방3～23개월，미발현황달、담도잔류결석화담도협착등병발증。결론：복강경담총관절개취석1기봉합술시치료부분담낭결석합병담총관결석적가행、안전적방법，경부합미창외과이념。
Objective:To explore the processing experience of Laparoscopic common bile duct exploration and primary suture .Meth-ods:Retrospective analysis from July 2012 to March 2014 slitting line 24 cases of laparoscopic common bile duct lithotomy issue of the clinical data of the suture technique.Results:24 cases were successful , surgery time 70-200 min, average 130 min;total hospi-talization time 6 -10d, the average 7d.All patients recovered well by followed up 3-23 months through abdominal B ultrasound , liver function tests .No jaundice, biliary residual stones and biliary stricture complications occured .Conclusions:Choledocholithotomy laparo-scopic suture is a part of the treatment of gallstones and biliary calculi feasible and safe method , more in line with the concept of minimally invasive surgery .