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Clinical efficacy and safety of selective trans-cystic intra-operative cholangiography in primary suture following three-port laparoscopic common bile duct exploration

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Chinese Medical Journal 2012年第19期125卷 3509-3513页

作者： SUN Dong-lin ZHANG Feng CHEN Xue-min JIANG Hong-yuan YANG Chun SUN Ya-ping YANG Bo YANG Yue CAI Hui-hua WANG Cao-ye WU Xin-quan Department of Minimally Invasive Surgery the First People's Hospital of ChangzhouSuzhou UniversityChangzhouJiangsu 213003China

Background Intra-operative cholangiography has been shown to be a sensitive and specific method of demonstrating bile duct stones. This study investigated the feasibility, safety, and clinical value of selective trans-cystic intra-operative cholangiography in primary suture following three-port laparoscopic common bile duct exploration, and identified the factors that positively predict the presence of common bile duct stones. Methods From January 2008 to January 2011, 252 of 1013 patients undergoing laparoscopic cholecystectomy received selective trans-cystic intra-operative cholangiography and primary suture following three-port laparoscopic common bile duct exploration. Their clinical data were analyzed retrospectively. Results All operations were successful and none was converted to open surgery. The intra-operative cholangiography time was （8.3±2.5） minutes, and the operative duration was （105.4±23.1） minutes. According to selective intra-operative cholangiography, the positive predictive values of current jaundice, small gallstones （〈0.5 cm） and dilated cystic duct （〉0.3 cm）, dilated common bile duct （〉0.8 cm）, history of jaundice or gallstone pancreatitis, abnormal liver function test, and preoperative demonstration of suspected common bile duct stones on imaging were 87%, 25%, 42%, 15%, 32%, and 75% for common bile duct stones, respectively. Patients with several factors suggestive of common bile duct stones yielded higher numbers of positive cholangiograms. Unexpected stones were found in 13 patients （5.2%） by intra-operative cholangiography. The post-operative hospital stay was （4.7±2.2） days. Post-operative bile leakage occurred in two cases, and these patients recovered by simple drainage for 3-7 days without re-operation. Of the 761 patients who underwent laparoscopic cholecystectomy alone, 5 （0.7%） presented with a retained common bile duct stone requiring intervention. The median follow-up was 12 months, and only one patient who once suffered from bil

关键词： laparoscopy intra-operative cholangiography common bile duct exploration primary suture

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Complications of Laparoscopic Choledochotomy and Lithotomy for primary suture

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Journal of Integrative Medicine（双语） 2020年第2期9卷 1-4页

作者： Xiping Zhu Tianyou Hospital Affiliated to Wuhan University of Science&Technology WuchangWuhan430064China

Objective:To explore the non-placement of“T”tube after laparoscopic *** and complication analysis of primary suture bile ***:Retrospective analysis of January 2013~December 2016,Laparoscopic choledocholithotomy for primary bile duct suture in 87 cases,Combined with literature,the indications,methods and complications of the operation were summarized and ***:There was no operative death in the whole group,Postoperative complications occurred in 5 cases(5.7%),1 case with jaundice,gradually subsided after 4 days of conservative *** cases had postoperative bile leakage,to prolong the drainage time of the peritoneal drainage tube and stop by *** 1 case,bile duct stenosis occurred.1 case of residual common bile duct *** average postoperative hospitalization was 9 ***:Select the right case strictly,Patient and delicate operation,Laparoscopic choledochotomy is safe and feasible.

关键词： Laparoscopy Common bile duct primary suture Complications

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Penile aseptic abscess in the cavernous body at the base of the penis:a case report

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Frontiers of Nursing 2021年第1期8卷 83-89页

作者： Man-Cheng Xia Ke-Qiang Yin Yu-Sheng Wang Jia-Wei Chen Xiao-Dong Bian Wei-Bing Shuang First Clinical Medical College Shanxi Medical UniversityTaiyuanShanxi 030001China Department of Urology First Hospital of Shanxi Medical UniversityTaiyuanShanxi 030001China

We report a case of aseptic abscess in the cavernous body at the base of the *** our clinical observation,the patient underwent puncture and drainage of the corpus cavernosum abscess,followed by surgical resection of the abscess wall,with the incisions closed layer by layer with primary *** addition,we paid attention to strengthening the postoperative management by using elastic bandages to wrap the penis intermittently to prevent edema;the incision would not be covered with dressings from the third day after the operation,so as to keep the incision site dry in an open *** the period of indwelling of the catheter after the operation,we noticed the care of the external orifice of the urethra to reduce the occurrence of catheter-related ***,the patient was diagnosed with a penile aseptic abscess in the cavernous body at the base of the *** patient recovered well after surgery and was discharged 1 week *** 1.5 years after the operation,the shape of the penis returned to normal,and the erectile function was *** was seen that good nursing concept is of great help for prognosis,which could avoid infection and edema,and is conducive to wound healing.

关键词： penis aseptic abscess puncture and drainage primary suture nursing

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