基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2015年
12期
1588-1589
,共2页
胆石症%腹腔镜%胆总管切开%Ⅰ期缝合
膽石癥%腹腔鏡%膽總管切開%Ⅰ期縫閤
담석증%복강경%담총관절개%Ⅰ기봉합
Cholelithiasis%Laparoseopy%Common bile duct%Primary closure
目的：探讨腹腔镜下胆总管切开取石胆总管Ⅰ期缝合术的疗效。方法38例胆囊结石合并胆总管结石患者，行腹腔镜下胆囊切除同时胆总管切开取石胆总管Ⅰ期缝合术，回顾性分析其临床资料。结果38例患者均在腹腔镜下完成手术，术后并发胆瘘3例，经腹腔引流后均自愈。结论严格把握手术适应证，实施腹腔镜胆总管切开取石胆总管Ⅰ期缝合术，是一种安全、可行、有效的手术方式。
目的：探討腹腔鏡下膽總管切開取石膽總管Ⅰ期縫閤術的療效。方法38例膽囊結石閤併膽總管結石患者，行腹腔鏡下膽囊切除同時膽總管切開取石膽總管Ⅰ期縫閤術，迴顧性分析其臨床資料。結果38例患者均在腹腔鏡下完成手術，術後併髮膽瘺3例，經腹腔引流後均自愈。結論嚴格把握手術適應證，實施腹腔鏡膽總管切開取石膽總管Ⅰ期縫閤術，是一種安全、可行、有效的手術方式。
목적：탐토복강경하담총관절개취석담총관Ⅰ기봉합술적료효。방법38례담낭결석합병담총관결석환자，행복강경하담낭절제동시담총관절개취석담총관Ⅰ기봉합술，회고성분석기림상자료。결과38례환자균재복강경하완성수술，술후병발담루3례，경복강인류후균자유。결론엄격파악수술괄응증，실시복강경담총관절개취석담총관Ⅰ기봉합술，시일충안전、가행、유효적수술방식。
ObjectiveTo discuss the efficacy of primary suture of laparoscopic common bile duct exploration. MethodsAnalysis of the clinical data of 38 cases of cholecystolithiasis and choledocholithiasis patients underwent laparoscopic cholecystectomy and choledochotomy bile duct in one stage suture.ResultsAll operations of 38 cases succeeded in laparascopic,complicated with postoperative bile leakage in 3 cases,the abdominal cavity drainage were self-healing.ConclusionsStrict surgical indications,laparoscopic choledocholithotomy and primary suture of common bile duct,is a safe,feasible and effective surgical method.
