关键词: 胆总管探查术, 胆囊管, 一期缝合, 腹腔镜胆囊切除术

Abstract: 【Abstract】〓Objective〓To explore the value through the cystic duct access to the prevention of bile duct injury and stricture of bile duct during laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration with primary suture. Methods〓The clinical data of 347 cases of LC plus laparoscopic common bile duct exploration with primary suture through cystic duct access performed from January 2009 to April 2014 in General Hospital of Beijing Command were analyzed. Results〓Based on the cystic duct access and dissection transition zone of cystic duct and common bile duct, the cholecystic ampulla, cystic duct, the bile common duct and the arteria cystica were to reveal. All the cases were operated with LC plus laparoscopic common bile duct exploration successfully without injury of blood vessel and bile duct. No stricture of bile duct were founded during 8-24 months of follow up. Conclusion〓The transition zone of cystic duct and common bile duct is the key landmark. Through the cystic duct and common bile duct transitional zone for exploration of common bile duct in primary suture is a safe, feasible, and it can effectively prevent the bile duct injury and stricture of bile duct.

Key words: Cystic duct, Laparoscopic common bile duct exploration, Primary suture, Laparoscopic cholecystectomy