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    陈萃. 腹腔镜胆总管探查术后选择性一期缝合与T管引流比较[J]. 蚌埠医科大学学报, 2013, 37(8): 975-976,979.
    引用本文: 陈萃. 腹腔镜胆总管探查术后选择性一期缝合与T管引流比较[J]. 蚌埠医科大学学报, 2013, 37(8): 975-976,979.
    shu
    CHEN Cui. The effect comparsion of postoperative selective suture and Ttube drainage of laparoscopic common bile duct exploration[J]. Journal of Bengbu Medical University, 2013, 37(8): 975-976,979.
    Citation: CHEN Cui. The effect comparsion of postoperative selective suture and Ttube drainage of laparoscopic common bile duct exploration[J]. Journal of Bengbu Medical University, 2013, 37(8): 975-976,979.
    shu

    腹腔镜胆总管探查术后选择性一期缝合与T管引流比较

    The effect comparsion of postoperative selective suture and Ttube drainage of laparoscopic common bile duct exploration

      摘要
    • 摘要: 目的:探讨腹腔镜胆总管探查术(LCBDE)一期缝合的安全性和可行性。方法:将行LCBDE的82例胆总管结石患者根据治疗方法分为一期缝合组42例和T管引流组40例。结果:2组患者手术时间和术中出血量及术后并发症差异均无统计学意义(0. 05);一期缝合组的首次肛门排气时间(24. 933. 29)h、术后下床活动时间(2. 391. 06)d、住院时间(6. 50. 51)d均明显短于T管引流组(P0. 01)。结论:LCBDE术后选择性一期缝合胆管是安全可行的,可明显缩短患者的康复时间,促进患者早期恢复,值得推广应用。

       

      Abstract: Objective: To investigate the safety and feasibility of the postoperative primary suture of laparoscopic common bile duct exploration( LCBDE) . Methods: Eighty-two patients with choledocholithiasis treated with LCBDE were divided into primary suture group( 42 cases) and T tube drainage group ( 40 cases) . Results: The differences of operative time，blood loss and postoperative complications between two groups were not statistical significance ( P ＞ 0. 05 ) . The time of the first anus exhaust，postoperative ambulation and hospital stay in primary suture group were ( 24. 93 3. 29) hours，( 2. 39 1. 06) days and ( 6. 5 0. 51) days，respectively，which was significantly less than those in T-tube group( P ＜ 0. 01) . Conclusions: The postoperative selective primary suture of LCBDE is safe and feasible，which can significantly shorten the recovery time， promote early recovery and be worth being further popularized

       

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