腹腔镜胆总管探查一期缝合术2326例报告
Primary Closure of Bile Duct Incision in Laparoscopic Bile Duct Exploration: A Report of 2326 Cases
摘要: 目的：总结运用腹腔镜胆总管探查一期缝合术的治疗经验。方法：回顾性分析1992年6月至2017年6月，成都市第二人民医院运用腹腔镜胆总管探查一期缝合术对2326例病人进行治疗的经验及效果。结果：一期缝合的2326例病人中有2148例(92.3%)腹腔镜手术获成功，中转开腹获成功15例(0.6%)。术后胆汁漏94例(4.0%)，术后残石29例(1.2%)，1例胰腺癌术后15 d死亡(0.1%)，术后有其他并发症39例(1.7%)，总并发症发生率为7.0% (163/2326)。结论：从本研究对本医院有限病例进行初步研究发现，只要选择合适的病例，腹腔镜胆总管探查一期缝合术是可行、有效和安全的。
Abstract: Objective: To summarize the experience on laparoscopic choledochotomy with primary suture. Methods: From June 1992 to June 2017 in the Second People,s Hospital of Chengdu, 2326 patients were received the primary closure of duct incision in laparoscopic common bile duct exploration. Results: It had obtained successful in 2148 (92.3%) out of 2326 patients, fifteen cases (0.6%) were shifted to open common bile duct exploration. Bile leakage occurred in 94 cases (4.0%). Residual stones were in 29 cases (1.2%). One patient (0.1%) of pancreatic carcinoma died in post-operation 15 days. Thirty-nine cases (1.7%) were other complications. Total postoperative complication formation rate is 7.0% (163/2326). Conclusion: From preliminary results of limited cases in this study in our hospital, if patients are suitable, laparoscopic choledochotomy with primary closure was a feasible, safe and effective method.
文章引用：陈安平, 曾乾桃, 周华波, 高原, 索运生, 刘安, 刘进衡, 张胜龙. 腹腔镜胆总管探查一期缝合术2326例报告[J]. 亚洲外科手术病例研究, 2017, 6(4): 23-28. https://doi.org/10.12677/ACRS.2017.64005

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