胆总管探查切口一期缝合与支架置入后一期缝合动物实验对比研究

田明国, 田明祥, 张培建, 张杰, 刘歆农, 王立云, 将永军, 罗小江, 张佳风

田明国, 田明祥, 张培建, 张杰, 刘歆农, 王立云, 将永军, 罗小江, 张佳风. 胆总管探查切口一期缝合与支架置入后一期缝合动物实验对比研究[J]. 实用临床医药杂志, 2013, (19): 1-3,6. DOI: 10.7619/jcmp.201319001
引用本文: 田明国, 田明祥, 张培建, 张杰, 刘歆农, 王立云, 将永军, 罗小江, 张佳风. 胆总管探查切口一期缝合与支架置入后一期缝合动物实验对比研究[J]. 实用临床医药杂志, 2013, (19): 1-3,6. DOI: 10.7619/jcmp.201319001
Animal experiment on primary choledochorrhaphy and choledochorrhaphy over a biliary stent in common bile duct exploration[J]. Journal of Clinical Medicine in Practice, 2013, (19): 1-3,6. DOI: 10.7619/jcmp.201319001
Citation: Animal experiment on primary choledochorrhaphy and choledochorrhaphy over a biliary stent in common bile duct exploration[J]. Journal of Clinical Medicine in Practice, 2013, (19): 1-3,6. DOI: 10.7619/jcmp.201319001

胆总管探查切口一期缝合与支架置入后一期缝合动物实验对比研究

基金项目: 宁夏回族自治区科技攻关计划项目,江苏省扬州市科技攻关项目
详细信息
  • 中图分类号: R575

Animal experiment on primary choledochorrhaphy and choledochorrhaphy over a biliary stent in common bile duct exploration

  • 摘要: 目的 比较胆总管探查切口一期缝合与支架置入后一期缝合的动物实验效果.方法 选择小型家猪16只,胆总管探查后分别行胆管切口一期缝合和置入自行脱落胆道支架后切口一期缝合.术后观察胆漏发生率、胆管切口处狭窄程度及组织病理学变化.结果 单纯一期缝合组胆漏率、胆管狭窄程度明显高于支架引流后一期缝合组,单纯一期缝合易发生腹腔粘连,胆管切口处炎细胞浸润及纤维化更加明显.结论 在胆总管探查术中置入胆道支架再行切口一期缝合可有效降低术后胆漏及胆管狭窄率.
  • Tian M G, Shi W J, Zhong C J. Laparoscopic Treatment of Choledocholithiasis with Novel Self-releasing Biliary Stent [J]. Journal of Laparoendoscopic & Advanced Surgical Techniques, 2009(3):405.
    Darwin P, Goldberg E, Uradomo L. Jackson Pratt drain uid-to-serum bilirubin concentration ratio for the diagnosis of bile leaks [J]. Gastrointestinal Endoscopy, 2010.99.
    Wu J S, Soper N J. Comparison of laparoscopic choledochotomy closure techniques [J]. Surgical Endoscopy, 2002.1309.
    张楷, 王浩炜, 吴浩荣. 应用胆道内支架行腹腔镜胆总管探查的可行性研究 [J]. 中华肝胆外科杂志, 2006(1):21.doi: 10.3760/cma.j.issn.1007-8118.2006.01.007.
    TangC N, TaiCK, HaJ P. Antegrade biliary steming versus T-tube drainage after laparoscopic choledochotomy-a comparative cohort study [J]. Hepato-Gastroenterology, 2006, (69):330.
    Decker G, Boric F, Millat B. One hundred laparoscopic choledochomies with primary closure of the common bile duct [J]. Surgical Endoscopy, 2003(1):12.
    Irfan Ahmed, Charita Pradham, Ian J Bekingham. Is a T-tube necessary after common bile duct exploration [J]. World Journal of Surgery, 2008.1485.
    Leida Z, Ping B, Shuguang W. A randomised comprison of primary closure and T-tube drainage of the common bile duct after laparoscopic chdedochotomy [J]. Surgical Endoscopy, 2008.1595.
    索运生, 徐琳, 陈安平. 腹腔镜胆总管探查一期缝合669例报告 [J]. 中国微创外科杂志, 2008, (10):942.doi: 10.3969/j.issn.1009-6604.2008.10.031.
    Depaula AL, Hashiba K, Bafutto M. Results of the routine use of a modified endoprothesis to drain the common bile duct after laparoscopic choledochotomy [J]. Surgical Endoscopy, 1998, (7):933.
    Laukkarinen J. A novel biodegradable biliary stent in the endoscopic treatment of cystic-duct leakage after cholecystectomy [J]. Gastrointestinal Endoscopy, 2007(7):1063.
    田明国, 仲崇俊, 张培建. 腹腔镜胆总管探查改良胆道支架引流术 [J]. 中华肝胆外科杂志, 2008(9):661.doi: 10.3760/cma.j.issn.1007-8118.2008.09.023.
    腹腔镜胆总管探查J型支架引流术120例 [J]. 中华普通外科杂志, 2011(5):429.doi: 10.3760/cma.j.issn.1007-631X.2011.05.024.
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出版历程
  • 发布日期:  2013-11-25

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