摘要
目的探讨胆总管探查术后胆管一期缝合的可行性、手术指征及临床应用价值。方法选择性地对有胆总管探查指征的病人,于术中行纤维胆道镜或胆道造影检查后行胆总管一期缝合42例,并回顾性分析其治疗效果。结果本组42例全部治愈,无手术死亡病例。全组平均住院9d。发生术后胆漏3例,均经腹腔引流治愈。全组随诊6个月～4年,未见结石残留及胆管狭窄,疗效满意。结论严格选择手术适应证及精细手术操作,胆总管切开探查一期缝合是安全可行的。
Objective To investigate the feasibility,indications and clinical value of the primary suture of common bile duct after exploration. Methods The therapeutic effectiveness of the primary suture of common bile duct in 42 cases having the indications subject to exploration of primary suture of common bile duct under fibercholedochoscopy or cholangionraphy was retrospectively analyzed. Resuits All the 42 cases fully recovered. The mortality was zero. Mean hospital stay was 9 days. Three patients with bile leakage were cured by abdominal drainage. During the follow-up of 6 months to 4 years, no residual calculus and stricture of bile duct were seen. Conclusion To select operative indication strictly and operating pricisely, the primary suture of common bile duct following exploration is safe and feasible.
出处
《腹部外科》
2007年第2期109-110,共2页
Journal of Abdominal Surgery
关键词
胆总管
引流
手术后并发症
Common bile duct
Drainagel Postoperative complications
