Objective To investigate the effect of laparoscopy combined with choledochoscopy on common bile duct (CBD) stones with primary suture of the CBD. Methods Totally 523 patients of gallbladder stone companied with CBD stones or choledochectasia (diameter ≥0.8 cm) from September 1998 to December 2008 were retrospectively analyzed. Results The primary suture of the CBD incision was successfully performed in 487 patients. The CBD stones were completely removed during the operation in 400 patients. Nothing was found in 87 cases. In 10 cases conversion to open surgery were performed and in 26 cases the T tube drainage was put into the CBD in choledocholithotomy. Average operative time was 90 min and average bleeding volume was 50 ml. All patients took food at 24 h, returned general activity on 2-3 d and discharged on 5 d after operation. Postoperative biliary leakage occurred in 29 cases with drainage average volume of 35 ml/d and continued 1-6 d, which were cured by non-operation therapy. Conclusions The primary suture of the CBD during the laparosocopy combined with choledochosopy in choledocholithotomy is a safe and effective operation with less invasion, less pain and quicker recovery. CBD incision suture without T tube drainage can be done when CBD stones are cleared completely and no stenosis is found in extrahepatic bile duct.
目的:總結疝環充填式無張力疝修補術治療腹股溝疝的臨床療效。方法:對我院1999年4月至2008年8月采用疝環充填式無張力疝修補術治療569例腹股溝疝患者的臨床資料進行回顧性分析,對手術時間、傷口疼痛、術后自主能力的恢復、住院時間、并發癥及復發率等進行觀察。結果:與傳統疝修補手術相比,具有方法簡便,術后疼痛輕,恢復快, 住院時間短,并發癥少,復發率低和更寬的手術指征等優點。結論:疝環充填式無張力疝修補術是一種治療腹股溝疝的理想手術方法。