摘要
目的总结胆总管置管内引流一期缝合微创治疗胆管结石的经验。方法2005年6月。2006年3月，对16例胆管结石行腹腔镜联合胆道镜胆总管探查，胆总管置入专利的“胆道支撑内引流管”，一期缝合胆总管，术后用胃镜或十二指肠镜将内引流管拔除。结果16例手术均获成功，无中转开腹，手术时间90—260min，平均145min。内引流管于术后5～7d拔除，随访3—12个月，无残余结石及胆管狭窄等并发症。结论胆总管置管内引流一期缝合微创治疗胆管结石是安全可行的。
Objective To summarize the experience of combination use of biliary stent placement and drainage with primary suture of the common bile duct in the treatment of choledocholithiasis. Methods Laparoscopic common bile duct exploration combined with flexible choledochoscopy was performed in 16 patients with choledocholithiasis from June 2005 to March 2006. During the operation, a patented ＂biliary stent for internal drainage＂ was introduced into the common bile duct, and primary sutures were performed to close the bile duct. Postoperatively, the stent was removed under gastroscope or duodenoscope. Results All the 16 operations were successfully accomplished without conversions to open surgery. The operative time was 90 - 260 min （ mean, 145 rain）. The biliary stent was removed 5 - 7 days after the surgery. Follow-up for 3 - 12 months showed no residual stones or biliary stenosis. ConcluSions Combination use of biliary stent drainage and primary suture of the common bile duct in the treatment of choledocholithiasis is safe and feasible.
出处
《中国微创外科杂志》
CSCD
2007年第1期48-49,共2页
Chinese Journal of Minimally Invasive Surgery
基金
河北省医学科学研究重点课题(编号:06151)
关键词
微创治疗
胆管结石
胆道引流管
一期缝合
Minimally invasive
Choledocholithiasis
Biliary stent
Primary suture
