Laparoscopic assisted small incision biliary tract exploration in treatment of recurrent extrahepatic bile duct stones
10.3760/cma.j.issn.1007-8118.2018.05.006
- VernacularTitle:腹腔镜辅助小切口胆道探查治疗复发性肝外胆管结石
- Author:
Zhongwu MA
1
;
Haibo YU
;
Bujian PAN
;
Hongliang SONG
;
Xiaodan JIN
Author Information
1. 温州市中心医院肝胆外科
- Keywords:
Extrahepatic bile duct stones;
Recurrence;
Laparoscopy;
Assisted small incision;
Biliary surgery;
Reoperation
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(5):309-312
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical results between laparoscopic assisted small incision biliary duct exploration with traditional biliary exploration for patients with recurrent extrahepatic bile duct stones who had undergone biliary surgery for ≥2 times.Methods The clinical data of patients with recurrent extrahepatic bile duct stones who had undergone biliary surgery for ≥2 times,and underwent laparoscopic assisted small incision biliary duct exploration or traditional biliary exploration from September 2011 to June 2016 were retrospectively studied.Results 23 patients underwent laparoscopic assisted small incision biliary duct exploration (Group A),and 24 patients underwent traditional biliary exploration (Group B).The time spent on abdominal adhesion separation in group A and group B was (74.7 ± 20.5) min and (90.8 ± 20.3) min (P ＜ 0.05),respectively.The amount of intraoperative blood loss were (67.4 ± 35.6)ml and (107.4±31.5) ml (P ＜0.05).The number of patients with intestinal injury were 0 and 4.The postoperative time to first pass flatus was (26.9 ± 3.8) h and (35.5 ± 6.5) h (P ＜ 0.05).The durations of postoperative hospital stay were (8.1 ± 1.4) d and (12.8 ± 2.9) d,respectively,(P ＜ 0.05).The numbers of patients who required postoperative analgesics were 10 and 19 cases (P ＜ 0.05).The number of patients with postoperative incisional wound infection were 1 and 6.There was no significant difference in the time spent on biliary exploration,incidences of biliary leakage,pulmonary infection rate,hospitalization cost and liver function status between the two groups of patients (P ＞ 0.05).Conclusions Laparoscopic assisted small incision biliary duct exploration was safe and effective for patients with recurrent extrahepatic bile duct stones who had undergone biliary surgery for ≥2 times.This operation can be used as a preferred procedure.
