腹腔镜及选择性辅助小切口行胆管探查在肝外胆管结石治疗中的疗效评价

doi:10.3969/j.issn.2095-378X.2019.04.010

Abstract

Abstract: Objective To observe the therapeutic effect of bile duct exploration via laparoscopic-assisted selective small incision on extrahepatic bile duct stones.Methods A total of 70 patients with intrahepatic and extrahepatic bile duct stones treated from September 2016 to March 2019 in our hospital were devided into observation group and control group according to different therapies, with 35 cases in each group.The control group received bile duct exploration via laparotomy, and the observation group received bile duct exploration via laparoscopic-assisted selective small incision.The operation conditions, T-tube drainage volume, bile duct pressure, and operational complications were observed.Results No significant differences in gastrointestinal recovery time, T-tube drainage volume and bile duct pressure on postoperational 1d, residual stone, and bile leakage between the two groups were observed.But bleeding volume, gastrointestinal recovery time, hospitalization time, and T-tube drainage and bile duct pressure on postoperational 7d of the observation group were better than those of the control group (P<0.05); the incision infection rate of the observation group was also lower than that of the control group (2.86% vs.14.29%, P<0.05).Conclusion The bile duct exploration via laparoscopic-assisted selective small incision can reduce operational bleeding volume and complications, shorten gastrointestinal recovery time, thus is worthy of clinical promotion.

Key words: Laparoscopic, Small incision, Bile duct exploration, bile duct stone

CLC Number:

R605

ZENG Dexin, ZHUANG Xiaoming, ZHUANG Xiaobo, ZHANG Hongying. Therapeutic evaluation of bile duct exploration via laparoscopic-assisted selective small incision in extrahepatic bile duct stones[J]. Surgical Research and New Technique, 2019, 8(4): 256-258.

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Therapeutic evaluation of bile duct exploration via laparoscopic-assisted selective small incision in extrahepatic bile duct stones

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