FU Jinqiang, WU Jianping, WANG Qing, et al. Clinical application of self-made stent drainage and primary suture in bile duct exploration. [J]. Journal of Southwest Medical University 43(3):276-279(2020)
FU Jinqiang, WU Jianping, WANG Qing, et al. Clinical application of self-made stent drainage and primary suture in bile duct exploration. [J]. Journal of Southwest Medical University 43(3):276-279(2020)DOI:
Clinical application of self-made stent drainage and primary suture in bile duct exploration
Objective:To investigate the application value of drainage with a self-made self-releasing stent and primary suture in bile duct exploration. Methods:A total of 198 patients who underwent surgical treatment of common bile duct stones in our hospital from June 2016 to April 2019 were enrolled
and according to the surgical procedure
they were divided into groups A and B. The 97 patients in group A underwent drainage with a self-made self-releasing stent and primary suture
and 101 patients in group B underwent T-tube drainage of the common bile duct. The two groups were compared in terms of general status
time of operation
and postoperative complications.Results:There were no significant differences between groups A and B in general status
time of operation
and intraoperative blood loss(P > 0.05)
but after surgery
group A had a significantly shorter time to first flatus
a significantly shorter length of hospital stay
and significantly lower costs than group B(P < 0.05). Group A had a significantly lower incidence rate of postoperative complications than group B. Conclusion:Drainage with a self-made self-releasing stent and primary suture have advantages over conventional T-tube drainage in common bile duct exploration and cholecystolithotomy and thus hold promise for clinical application in primary hospitals.
关键词
胆总管结石支架引流一期缝合T管引流
Keywords
Common bile duct stonesStent drainagePrimary sutureT-tube drainage