Teng Da, Xu Yue, Yang Qingsong, Zhang Wenjun
Department of Hepatobiliary Pancreatic and Splenic Surgery Ward I The Affiliated Chuzhou Hospital of Anhui Medical University (The First People's Hospital of Chuzhou) Chuzhou China.
Department of Ultrasound Medicine The Affiliated Chuzhou Hospital of Anhui Medical University (The First People's Hospital of Chuzhou) Chuzhou China.
Clin Case Rep. 2024 Sep 4;12(9):e9414. doi: 10.1002/ccr3.9414. eCollection 2024 Sep.
Cholecystolithiasis combined with choledocholithiasis represents a prevalent disease. At present, regarding the management of the common bile duct (CBD), T-tube drainage (TTD) and primary duct closure (PDC) emerge as two prominent approaches for biliary tract repair after laparoscopic CBD exploration (LCBDE). Here, retrospective analysis was conducted on the clinical records of 157 patients who underwent LCBDE at our hospital between January 2019 and January 2022. All patients were categorized into the PDC group or the TTD group based on the chosen CBD treatment approach. A comparative assessment was made across demographic factors, preoperative conditions, surgical particulars, and postoperative complications. The results showed that PDC is recommended for patients with a limited number of small stones, particularly when the CBD is in the 10-15 mm diameter range.
胆囊结石合并胆总管结石是一种常见疾病。目前，对于胆总管（CBD）的处理，T管引流（TTD）和一期胆管缝合（PDC）是腹腔镜胆总管探查术（LCBDE）后胆道修复的两种主要方法。在此，对2019年1月至2022年1月期间在我院接受LCBDE的157例患者的临床记录进行回顾性分析。根据所选的CBD治疗方法，将所有患者分为PDC组或TTD组。对人口统计学因素、术前情况、手术细节和术后并发症进行了比较评估。结果表明，对于结石数量有限且较小的患者，尤其是当CBD直径在10 - 15毫米范围内时，推荐采用PDC。
