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Lingnan Modern Clinics in Surgery ›› 2020, Vol. 20 ›› Issue (06): 784-788.DOI: 10.3969/j.issn.1009-976X.2020.06.020

• Review • Previous Articles     Next Articles

Research status of indications, surgical methods and complications of primary closure after laparoscopic common bile duct exploration

LI Wen-tao1, LI Han-qing1, HUANG Zhan-ren1, CHEN Nian-ping2   

  1. 1. Guangdong Medical University, Zhanjiang, Guangdong 524000, China;
    2. Department of Hepatobiliary Surgery, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong 524000, China
  • Contact: CHEN Nianping,npc88@163.com

腹腔镜胆总管探查一期缝合的适应症、手术方法和并发症的研究现状

李文韬1, 李汉卿1, 黄沾任1, 陈念平2,*   

  1. 1.广东医科大学,广东湛江524000;
    2.广东医科大学附属医院肝胆外科,广东湛江524000
  • 通讯作者: *陈念平,Email:npc88@163.com

Abstract: With the development of laparoscopy and choledochoscopy and the renewal of the concept of enhanced recovery after surgery, the primary closure of common bile duct exploration, which has been idled for a century, has once again become a research hotspot. Primary closure can be divided into three methods: simple primary closure,primary closure combined with internal biliary drainage, and primary closure combined with external biliary drainage. Although there have been a number of Meta-analysis confirming the effectiveness and safety of primary closure, many scholars worry that primary closure may increase the risks of postoperative bile leakage, biliary residual stones, and biliary stricture. There is still no consensus for T-tube drainage or primary closure after laparoscopic common bile duct exploration at present.

Key words: primary closure, gallstone disease

摘要: 随着腹腔镜、胆道镜等技术的发展及快速康复外科理念的更新,荒置了一个世纪的胆总管探查一期缝合术再次成为研究热点。一期缝合可分为三种方式:单纯一期缝合、一期缝合联合内引流、一期缝合联合外引流。虽然目前已有多项Meta分析证实了一期缝合的有效性及安全性,但也有不少学者担心一期缝合可能会增加术后胆漏、胆道残石、胆道狭窄等风险。胆总管切开探查后是留置T管还是一期缝合,目前国内外仍没有共识。

关键词: 一期缝合, 胆石病

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