摘要
目的研究腹腔镜下内支架胆肠吻合的安全性与可行性。方法 18只小型猪被随机分成两组:一组开腹行间断缝合胆管空肠吻合术(n=9,对照组),另一组行腹腔镜下内支架胆管空肠吻合术(n=9,实验组)。结果实验组手术时间为(60.2±3.7)min,对照组为(46.4±4.3)min,实验组手术时间显著长于对照组,差异具有统计学意义(P<0.05);术后6个月实验组胆肠吻合口内径为(3.8±0.3)mm,显著大于对照组的(2.9±0.4)mm,两组差异具有统计学意义(P<0.05);对照组小型猪发生吻合口狭窄者2例;所有小型猪内支架管都在58d内经肛排出。结论腹腔镜下内支架胆肠吻合安全易行。
Objective To explore the feasibility and safety of laparoscopic cholangiojejunostomy（CJ） with an intra-anastomotic biliary stent. Methods 18 minipigs with small-caliber bile ducts were randomly divided into two groups. One group performed open CJ with interrupted sutures without any stent（n=9,control group）. One group performed laparoscopic CJ with an intra-anastomotic biliary stent（n=9,experimental group）. Results The mean operation time of the experimental group was（60.2±3.7） minutes and that of the control group was（46.4±4.3） minutes, the operation time of experimental group was longer than control group,it had significant difference（P〈0.05）. After 6 months, the CJ caliber of the experimental group was larger（3.8mm±0.3mm） than the control group（2.9mm±0.4mm）,it had significant difference（P〈0.05）. Two cases of the control group occurred anastomotic stricture. All the stents were discharged by anus in 58 days. Conclusion The laparoscopic CJ with an intra-anastomotic biliary sten is easy and safe to perform.
出处
《中国现代医药杂志》
2014年第4期5-7,共3页
Modern Medicine Journal of China
基金
卫生部人类疾病比较医学重点实验室开放课题基金资助项目(编号:ZDS200801)
关键词
胆道支架
胆管
胆管空肠吻合
腹腔镜术
Biliary stent Bile duct Cholangiojejunostomy Laparoscopic surgery
