CAJ | 학술논문

目的探讨腹腔镜胆总管探查取石术后T管梗阻的原因及防治对策.方法回顾性分析总结我院2009年1月至2013年10月5例行腹腔镜胆总管探查取石术后T管梗阻患者的临床资料.结果 5例术后T管梗阻的患者中,3例为残余结石,1例为T管弯曲成角,1例为腹肌收缩压迫,所有患者均经治疗后康复.结论腹腔镜胆总管探查取石术后存在T管梗阻的风险,术中的精细操作和确切探查,以及术后的及时发现和合理应对是解决此问题的关键.
목적 탐토복강경담총관탐사취석술후T관경조적원인급방치대책.방법 회고성분석총결아원2009년1월지2013년10월5례행복강경담총관탐사취석술후T관경조환자적림상자료.결과 5례술후T관경조적환자중,3례위잔여결석,1례위T관만곡성각,1례위복기수축압박,소유환자균경치료후강복.결론 복강경담총관탐사취석술후존재T관경조적풍험,술중적정세조작화학절탐사,이급술후적급시발현화합리응대시해결차문제적관건.
Objective To investigate the causes and management of T-tube obstruction after laparoscopic common bile duct exploration.Methods The clinical data of 5 patients who developed T-tube obstruction after laparoscopic common bile duct exploration from Jan.2009 to Oct.2013 were retrospectively analyzed.Results Among the 5 patients with T-tube obstruction,there were 3 patients with residual stones,1 with T-tube kinking at an angle,and 1 with abdominal muscle contraction compressing the T-tube.All of them were cured after treatment.Conclusions There is some risk of T-tube obstruction after laparoscopic common bile duct exploration.The key to resolve this problem is to play detailed attention to the operation.There should be timely discovery of the causes of obstruction followed by treatment.