腹腔镜胆总管探查取石一期缝合疗效的荟萃分析

被引：19

作者：

沈火剑

季福

李可为

朱宏毅

机构：

[1] 上海交通大学医学院附属仁济医院

来源：

腹腔镜外科杂志 | 2010年 / 09期

关键词：

胆总管结石; 腹腔镜检查; 一期缝合; 胆道支架; Meta分析;

D O I：

暂无

中图分类号：

R657.4 [胆囊、胆管];

学科分类号：

100408 [卫生政策与卫生管理学];

摘要：

目的:探讨腹腔镜胆总管探查取石一期缝合的疗效。方法:通过检索Pubmed、Medline数据库,对1990～2009年有关腹腔镜胆总管探查取石一期缝合(包括植入胆道支架一期缝合及直接一期缝合)与腹腔镜胆总管探查取石"T"管外引流病例的对照研究资料进行荟萃分析。结果:共纳入6篇文献,413例患者。分析结果显示,一期缝合组与"T"管外引流组相比,手术时间、术后总体并发症、术后胆道并发症的发生率两组差异均无统计学意义(P>0.05),但术后住院时间一期缝合组明显短于"T"管外引流组(P<0.00001)。结论:腹腔镜胆总管探查取石一期缝合安全可行,疗效肯定,而且能明显减少术后住院时间。

引用

页码：681 / 685

页数：5

共 7 条

[1]

Laparoscopic Exploration of Common Bile Duct with Primary Closure Versus T-Tube Drainage: A Randomized Clinical Trial[J] Wei-Jie Zhang;Gui-Fang Xu;Guo-Zhong Wu;Jie-Ming Li;Zhi-Tao Dong;Xiao-Dong Mo Journal of Surgical Research 2009,

[2]

A randomized comparison of primary closure and T-tube drainage of the common bile duct after laparoscopic choledochotomy[J] Zhang Leida;Bie Ping;Wang Shuguang;He Yu Surgical Endoscopy 2008,

[3]

Management of common bile duct stones[J] Eric Hungness;Nathaniel Soper Journal of Gastrointestinal Surgery 2006,

[4]

Cost‐effective method for laparoscopic choledochotomy[J] JohnGriniatsos;EvangelosKarvounis;JamesArbuckle;Alberto‐MartinezIsla ANZ Journal of Surgery 2005,

[5]

Laparoscopic treatment of choledocholithiasis using modified biliary stents[J] E. K. Kim;S. K. Lee Surgical Endoscopy 2004,

[6]

E.A.E.S. multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal calculi[J] A. Cuschieri;E. Lezoche;M. Morino;E. Croce;A. Lacy;J. Toouli;A. Faggioni;V. M. Ribeiro;J. Jakimowicz;J. Visa;G. B. Hanna Surgical Endoscopy 1999,

[7]

Towards T-Tube Free Laparoscopic Bile Duct Exploration: A Methodologic Evolution During 300 Consecutive Procedures[J] I. J. Martin;I. S. Bailey;M. Rhodes;N. O'Rourke;L. Nathanson;G. Fielding Annals of Surgery 1998,

← 1 →