Clinical Discussion of Laparoscopic Joint Choledochoscope Common Bile Duct Exploration and Primary Suture in Operation for Choledocholithiasis on 53 Cases
- VernacularTitle:腹腔镜联合胆道镜胆总管探查取石术后一期缝合治疗胆总管结石53例临床体会
- Author:
Zhijun ZHANG
;
Kui LONG
;
Xunqiang LIU
;
Min SUN
;
Junwei HUANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic;
Choledochoscope;
Common bile duct exploration;
Primary suture
- From:
Journal of Kunming Medical University
2013;(9):85-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective Discuss the clinical experience of laparoscopic common bile duct exploration and primary suture in operation for choledocholithiasis. Methods From August 2010 to December 2012, 53 patients with choledocholithiasis were treated with laparoscopic common bile duct exploration and primary suture laparoscopic common bile duct exploration and primary suture,not T tube drainage in Dept. of General Surgery First,Wenjiang branch courts of Sichuan provincial people's hospital. Their clinical data were selected and retrospectively analyzed. Results 53 cases have successfully operated (100%), the operated time was 100-180 minutes, and the postoperative hospitalization time was 6-12 days. 4 cases occured bile leakage (7.5%), but they were cured through abdominal cavity drainage. All the patients were follow-up visited in 2-14 months. There was no bile leakage, bile duct stenosis, bile duct bleeding or residual calculi. Conclusion Under the strict conditions for mastering operative indications, laparoscopic common bile duct exploration and primary suture is a safe, effective, more minimally invasive, faster recovery treatment for choledocholithiasis.
