| 赵晖 竺来法 陈紫千 季沅 金慧涵.腹腔镜胆总管探查术在有上腹部手术史患者中的应用[J].,2015,15(32):6331-6333 |
| 腹腔镜胆总管探查术在有上腹部手术史患者中的应用 |
| Laparoscopic Common Bile Duct Exploration on Patients with PreviousUpper Abdominal Surgery History |
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| DOI： |
| 中文关键词: 腹腔镜 胆总管探查术 上腹部手术史 |
| 英文关键词: Laparoscopy Common bile duct exploration Upper abdominal surgery history. |
| 基金项目:教育部留学回国人员科研启动基金（教外司留[2011]1568 号） |
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| 中文摘要: |
| 目的：探讨有上腹部手术史患者行腹腔镜胆总管探查术的可行性和临床疗效。方法：回顾性分析我院2007 年-2013 年实施
腹腔镜胆总管探查术（LCBDE）患者共90 例，分为两组，A 组为有上腹部手术史行LCBDE术（n=45），B 组为既往无手术史行
LCBDE 术（n=45），比较两组之间手术时间、中转开腹率、结石残留率、术后并发症率、住院时间、结石复发率。结果：A 组和B 组
在中转开腹率、结石残留率、术后并发症率、住院时间、结石复发率上并没有统计学差异（P＞0.05），而A 组手术时间长于B 组
（P＜0.05）。结论：有上腹部手术史患者行LCBDE是安全可行的。成功的关键在于合适的病例选择、全面的术前评估、合理的穿刺
点选择和精确的术中操作。 |
| 英文摘要: |
| Objective:To explore the feasibility and efficacy of laparoscopic common bile duct exploration (LCBDE) on patients
with previous upper abdominal surgery history.Methods:This study is a retrospective analysis of 90 consecutive LCBDEs from 2007 to
2013 in our hospital. Group A included patients who had the history of upper abdominal surgery, and group B included patients who had
no history of surgery. Operative time, open conversion, stone residual, complication, hospital stay and recurrent stone were compared
between the two groups.Results:There was no significant differernce between group A and group B in open conversion, stone residual,
complication, hospital stay and recurrent stone （P＞0.05）. But operative time of group A was longer than that of group B（P＜0.05）Conclusion:LCBDE on patients with previous upper abdominal surgery history is safe and feasible. The key to success lies in proper
patient selection, comprehensive evaluation before operation, rational selection of puncture point and precise operating in surgery. |
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