Exploration and primary suture of common bile duct in laparoscopic procedure (a report of 35 cases)
- VernacularTitle:腹腔镜胆总管探查胆管一期缝合术(附35例报告)
- Author:
Bin CHEN
;
Renyi QIN
;
Mingyan HU
;
Zhengjun SHI
- Publication Type:Journal Article
- Keywords:
COMMON BILE DUCT CALCULI/surg;
COMMON BILE DUCT /surg;
SUTURE TECHNIQUES;
LAPAROSCOPY
- From:
Chinese Journal of General Surgery
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the methods and effects of common bile duct(CBD) exploration and primary suture by laparoscopic procedure after laparoscopic cholecystectomy (LC) . Methods After LC, 35 patients' CBD were explored.After hte CBD stone was removed by choledochofiberscopy completely and CBD stenosis was excluded, the CBD was sutured primarily. Results 32 cases of CBD gallstone were removed ,and 3 exploration were negative.All the 35 CBD were sutured primarily . Two patients occurred bile leakage 1~3 day after the operation ,which were cured by conservative therapy.29 patients were followed-up for 3~24 months,no residual stone or bile duct stricture was found. Conclusions Primary suture CBD is safe and effective in laparoscopic CBD exploration,if the patient selected correctly.