Application of needle-type choledochotomy in laparoscopic common bile duct exploration
10.3760/cma.j.cn115396-20210616-00226
- VernacularTitle:"针式法"胆管切开在腹腔镜下胆总管切开探查术中的应用
- Author:
Zhennan LI
1
;
Qian WANG
;
Tongtai LIU
;
Jie YAO
;
Xiaodong WANG
;
Qiang ZHANG
;
Shuai SUN
;
Jianjun QIAN
;
Guoqing JIANG
Author Information
1. 江苏省苏北人民医院肝胆胰外科，扬州 225001
- Keywords:
Choledocholithiasis;
Laparoscopy;
Common bile duct exploration;
Choledochotomy;
Needle-type Incision
- From:
International Journal of Surgery
2021;48(10):655-659,F3
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce the usefulness and advantages of needle-type choledochotomy in laparoscopic common bile duct exploration.Methods:A retrospective analysis for the data of 1 107 patients who successfully implemented laparoscopic common bile duct exploration in Subei People′s Hospital of Jiangsu Province from January 1, 2013 to December 31, 2020 were applied. All cases were divided into the study group 662 cases with needle-type choledochotomy) and the control group (445 cases with non-needle-type choledochotomy) according to the manipulation of common bile duct incision. The time-cost, incidences of bleeding and bile leakage, as well as the recurrence rate of bile duct stone and the incidence of bile duct stenosis were observed and compared between the two groups. Normally distributed data were expressed as mean±standard deviation ( Mean± SD) and compared by t test while count data were expressed as frequency or percentage and compared by chi-square test or Fisher′s exact test. Results:The bile duct incision time and bleeding rate were (14.45±2.46) s and 25.1% in the study group, (104.48±15.32) s and 68.1% in the control group, respectively. The differences between the two groups were statistically significant ( P<0.001). The incidence of stone recurrence, biliary leakage, and bile duct stricture were 3.0%, 3.6% and 0.3% in the study group, 4.9%, 5.6% and 0.4% in the control group, respectively. There were no statistically significant differences between the two groups ( P>0.05). Conclusion:Needle-type bile duct incision can be used as a routine manipulation in laparoscopic common bile duct exploration for its time-saving, less bleeding, safe and easy to handling.
