Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China (mainland).
Department of Anesthesia, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China (mainland).
Med Sci Monit. 2020 Mar 19;26:e921896. doi: 10.12659/MSM.921896.
BACKGROUND Hepaticojejunostomy is a common biliary reconstruction procedure in hepatobiliary surgery. The suture technique plays a key role in the procedure. The conventional suture technique is complex and time-consuming. To facilitate the procedure, we performed it with a modified suture technique. In the present study, we evaluated the efficacy and safety of the technique in hepaticojejunostomy. MATERIAL AND METHODS We enrolled 120 adult patients who underwent hepaticojejunostomy. The patients were divided into a conventional group and a modified suture group according to the suture technique used. Clinical data were collected for analysis. RESULTS No significant differences were found between the 2 groups in terms of demographic data. No significant differences were found between the 2 groups in terms of serum bilirubin, albumin, AST, ALT, or hemoglobin (p>0.05). There were no significant differences between the 2 groups in terms of bile hemorrhage, fever, or cholangitis (p>0.05). The incidences of stenosis and cholelithiasis were similar in the 2 groups (p>0.05). The incidence of bile leakage was lower in the modified suture group than in the conventional group (p=0.04). The average bile duct diameter was 25±6 mm in the modified continuous suture group and 29±7mm in the conventional group, but the difference was not statistically significant (p=0.5). The duration of the anastomosis procedure was 15.4±4.4 min in the modified continuous suture group, which was shorter than in the conventional group (p<0.05). CONCLUSIONS The modified continuous suture technique is efficient and safe for use in hepaticojejunostomy. It can facilitate the procedure and reduce the incidence of bile leakage after hepaticojejunostomy.
胆肠吻合术是肝胆外科中常见的胆道重建手术。缝合技术在该手术中起着关键作用。传统的缝合技术复杂且耗时。为了方便手术，我们采用了改良的缝合技术。本研究旨在评估该技术在胆肠吻合术中的疗效和安全性。
我们纳入了 120 例行胆肠吻合术的成年患者。根据使用的缝合技术，将患者分为常规组和改良缝合组。收集临床资料进行分析。
两组患者的人口统计学数据无显著差异。两组患者的血清胆红素、白蛋白、AST、ALT 或血红蛋白水平无显著差异（p>0.05）。两组患者的胆汁出血、发热或胆管炎发生率无显著差异（p>0.05）。两组患者的狭窄和胆石症发生率相似（p>0.05）。改良缝合组的胆漏发生率低于常规组（p=0.04）。改良连续缝合组的胆管平均直径为 25±6mm，常规组为 29±7mm，但差异无统计学意义（p=0.5）。改良连续缝合组的吻合术时间为 15.4±4.4min，短于常规组（p<0.05）。
改良连续缝合技术在胆肠吻合术中高效且安全。它可以简化手术过程并降低胆肠吻合术后胆漏的发生率。
