Study on the changes of common bile duct pressure after laparoscopic common bile duct exploration in patients with common bile duct stones
10.3969/j.issn.1005-6483.20240136
- VernacularTitle:胆总管结石行腹腔镜下胆总管探查术后胆总管压力变化的研究
- Author:
Shenchao SHI
1
;
Qiong GONG
1
;
Jian CHANG
1
;
Zhengle ZHANG
1
;
Jing TAO
1
;
Zhongchao ZHU
1
Author Information
1. 430060 武汉大学人民医院胰腺外科
- Publication Type:Journal Article
- Keywords:
common bile duct stones;
common bile duct pressure;
common bile duct exploration
- From:
Journal of Clinical Surgery
2025;33(2):150-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the change of common bile duct pressure after laparoscopic common bile duct exploration in patients with common bile duct stones.Methods Clinical data of 17 patients with common bile duct stones treated in our hospital from January 2022 to December 2022 were collected.All patients underwent laparoscopic common bile duct exploration and common bile duct pressure measurement.The patients were followed up for 8 weeks after operation,and the common bile duct pressure was measured by indwelling T tube at 2,3,4 and 8 weeks.Results Among the 17 patients,1 patient showed persistent high common bile duct pressure due to residual common bile duct stones.In the remaining 16 patients,there were no significant difference between the initial common bile duct pressure(19.7 cm H2O)and the common bile duct pressure at postoperative(17.0 cm H2O)and week 1(15.5cmH2O)(P>0.05).There were significant differences between the initial common bile duct pressure and the common bile duct pressure at week 2(13.5 cm H2O),3(12.2 cm H2O),4(11.1 cm H2O)and 8(10.0cmH2O)(P<0.05).Conclusion Compared to initial common bile duct pressure,the pressure of common bile duct began to decrease significantly from 2 weeks after laparoscopic common bile duct exploration in patients with common bile duct stones.