摘要
目的通过研究完全腹腔镜皮下盲袢胆肠吻合术治疗肝胆管结石的疗效,为肝胆管结石提供一条可靠且低创伤的治疗途径。方法收集并回顾性分析泉州市中医院2018.01.01-2021.03.01收治的48例因肝胆管结石行腹腔镜下胆肠吻合术患者,其中行全腹腔镜皮下盲袢胆肠吻合术的患者20例(以下简称改良组),单纯行全腹腔镜胆肠吻合术患者28例(以下简称对照组)。通过观察比较两组病人年龄、性别、结石位置、术前术后白细胞计数、手术时间、术中出血量、术后并发症、术后住院天数等,借此评估全腹腔镜皮下盲袢胆肠吻合术式治疗肝胆管结石的疗效及可行性。结果年龄、性别、术中出血量、术后住院天数、术前术后白细胞计数、结石位置、术后并发症发生率在两组术式中的比较无统计学意义(P>0.05)。手术时间在两组术式中的差异有统计学意义(P<0.05),全腹腔镜皮下盲袢胆肠吻合术手术时间较单纯行全腹腔镜胆肠吻合术者有所延长。结论腹腔镜皮下盲袢胆肠吻合术操作简单、方便,创伤小,减少二次手术,疗效肯定,值得临床推广。
Objective Providing a reliable and low invasive way for treatment of hepatolithiasis, by studing the effect of the complete laparoscopic cholejunostomy with the subcutaneous jejunal loop in the therapy of the disease.Method The medical records of 48 hepatolithiasis patients in The Quanzhou Hospital of Traditional Chinese Medicine from January 2018 to March 2021 were retrospectively analyzed, with 20 cases undergoing the complete laparoscopic cholejunostomy with the subcutaneous jejunal loop(improved group) and 28 cases undergoing total laparoscopic choledoenterostomy simply(control group).Age, gender, lithiasis location, preoperative and postoperative levels of inflammation, duration of operation, intraoperative blood loss volume(ml), postoperative complications and length of postoperative hospital stay(d) were compared between two groups.Results There was no statistically significant difference between two groups in age, gender, lithiasis location, preoperative and postoperative levels of inflammation, postoperative complications, intraoperative blood loss volume and length of postoperative hospital stay(P>0.05). The difference in the duration of operation between two groups was statistically significant(P<0.05).Improved group spent more operation time than Control group.Conclusion Application of The Complete Laparoscopic Choleojejunostomy with the subcutaneous jejunal caecal loop is simple, convenient, less trauma and second operation, more effective, worthy of promotion.
作者
庄阳辉
胡清福
林凌翰
黄军恭
王海棠
陈贵珠
陈琪琛
吴娜
杨梅玉
毛桂珍
杜振双
ZHUANG Yanghui;HU Qing-fu;LIN Ling-han;无(General Surgery Department,Quanzhou Hospital of Traditional Chi-nese Medicine;General Practice Department,the Fujian Medical University 2nd Affiliated Hospital;General Practice Department,the People's Hospital Affiliated to Quanzhou Medical College,Quanzhou 362000,China)
出处
《肝胆外科杂志》
2022年第3期186-190,共5页
Journal of Hepatobiliary Surgery
基金
福建中医药大学2021年校管课题临床专项(编号:XB2019109)。
关键词
肝胆管结石
腹腔镜胆肠吻合术
皮下盲袢
ROUX-EN-Y吻合
hepatic calculus
laparoscopic choleoenterostomy
subcutaneous jejunal caecal loop
Roux-en-Y choledochal anastomosis
