Clinical study of the first stage suture after laparoscopic common bile duct exploration
10.3760/cma.j.issn.1673-4904.2019.05.004
- VernacularTitle:腹腔镜胆总管探查术后一期缝合的临床研究
- Author:
Ancheng QIN
1
;
Jianwu WU
;
Yijie LU
;
Min ZHAI
;
Xingsheng LU
;
Zhiming QIAO
;
Xinwei JIANG
Author Information
1. 南京医科大学附属苏州医院肝胆外科 215000
- Keywords:
Choledocholithiasis;
Laparoscopic;
First stage suture
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(5):396-398
- CountryChina
- Language:Chinese
-
Abstract:
Objective To research the clinical application value of laparoscopic bile duct exploration and the first stage suture for choledocholithiasis. Methods The clinical data of 86 patients with choledocholithiasis were analyzed retrospectively from January 2015 to January 2017 in Affiliated Suzhou Hospital of Nanjing Medical University. According to the different methods of laparoscopic bile duct exploration, they were divided into one stage suture group (observation group, 46 cases) and T tube drainage group (control group, 40 cases). Results The recovery time of gastrointestinal function, hospitalization time and hospitalization expenses in observation group were significantly better than those in control group: (22.71 ± 10.92) h vs. (35.63 ± 11.12) h, (8.4 ± 2.6) d vs. (13.5 ± 2.3) d and (12.1 ± 3.2) thousand yuan vs. (13.5 ± 4.2) thousand yuan, and there were statistical differences (P＜0.05). Conclusions Compared with T tube drainage, the first stage suture after laparoscopic common bile duct exploration has shorter hospitalization time, lower treatment cost and faster recovery. It is a safe and feasible operation method, and is worthy of popularization and application.
