Lu Jiang, Zhang Xiao, Zeng Chao, Gu Jin-Tao, Cai Huihua
Department of General Surgery, Liyang People's Hospital, Liyang, China.
Department of General Surgery, Jiangqiao Hospital, Shanghai, China.
J Laparoendosc Adv Surg Tech A. 2023 Jul;33(7):622-625. doi: 10.1089/lap.2022.0485. Epub 2023 May 11.
At present, T-tube drainage or primary suture for common bile duct stones is common management. The clinical data of 100 patients who underwent laparoscopic common bile duct exploration and T-tube drainage or primary suture for common bile duct stones from 2019 to 2021 were analyzed retrospectively, including 50 cases of primary suture and 50 cases of T-tube drainage. The operation time and postoperative hospital stay of patients with primary suture were lower than those in T-tube drainage group ( < .05). There was no significant difference in the incidence of postoperative complications and hospitalization expenses between the two groups ( > .05). It has been suggested that the therapeutic effect of laparoscopic primary suture is better than that of T-tube drainage; although they have different indications, they should be selected according to the specific individual situation of patients.
目前,胆总管结石的治疗方法主要是T管引流或一期缝合。回顾性分析了2019年至2021年期间100例行腹腔镜胆总管探查及胆总管结石T管引流或一期缝合的患者的临床资料,其中一期缝合50例,T管引流50例。一期缝合患者的手术时间和术后住院时间均低于T管引流组(<0.05)。两组术后并发症发生率和住院费用比较,差异无统计学意义(>0.05)。提示腹腔镜一期缝合的治疗效果优于T管引流;虽然它们的适应证不同,但应根据患者的具体个体情况进行选择。