Objective To investigate feasibility and safety of one-stage suture assisted by temporary support tube place-ment in common bile duct in laparoscopic fine duct exploration.Methods From March 2019 to March 2023,clinical data of 63 patients with fine diameter choledocholithiasis with common bile duct diameter ranging from 0.5～0.7 cm combined with cholecys-tolithiasis in our hospital were retrospectively analyzed.Temporary support tube was inserted into the common bile duct under lapa-roscopy to assist primary suture.Results All 63 cases of fine diameter choledocholithiasis underwent laparoscopic temporary sup-port tube assisted primary suture.The average operative time was(86.5±26.2)min,and the average intraoperative primary suture time was(16.5±3.2)min.Postoperative bile leakage occurred in 3 patients,which stopped 3 to 7 days after surgery.After 3,6 and 12 months,outpatient reexamination of B ultrasound and liver function,there was no complication of choledochal stenosis,signifi-cant abnormal liver function and choledochal stone recurrence.Conclusion For patients with fine diameter choledocholithiasis combined with cholecystolithiasis,it is safe,feasible and clinically valuable to insert temporary support tube into common bile duct under laparoscopy to assist primary suture.
关键词
腹腔镜胆总管一期缝合/细径胆总管结石/临时支撑管
Key words
laparoscopic primary bile duct suture/fine diameter choledocholithiasis/temporary support tube
维普
万方数据