Modified laparoscopic common bile duct biliary nursing a suture.doc

 PAGE \* MERGEFORMAT 11 Modified laparoscopic common bile duct biliary nursing a suture [Abstract] Objective: To evaluate the modified laparoscopic common bile duct biliary nursing a suture. Methods: summary of October 2009 ~ February 2010 to complete the operation by this method 41 patients before surgery to prepare and the experience of post-operative care. Results: 41 patients, after our careful preoperative evaluation, meticulous preparation, after close observation, intensive care, had no complications. Conclusion: The modified laparoscopic common bile duct biliary a suture in the treatment of common bile duct stones is the focus of patient care to critically assess preoperative and postoperative to close observation, especially observation of abdominal symptoms and signs, the nature and amount of drainage fluid observed is essential. This method avoids indwelling T tube for a long time because of the pain, to avoid the opening by placing a variety of common bile duct drainage tube with the trauma. improved method of common bile duct and sew, but also to reduce the incidence of bile leakage, shortening hospital stay, reduced costs, and further demonstrates the advantages of minimally invasive. [Keywords:] bile duct stones, a suture, perioperative nursing Laparoscopic common bile duct T-tube drainage both domestic and foreign clinical application [1]. In recent years, laparoscopic common bile duct bile duct suture is also often found in a report [2]. A suture To ensure the smooth opening of the common bile duct, the preoperative or intraoperative or ENBD should be placed biliary-enteric drainage. discharge pipe and the pipe needs to get done in the duodenum microscope, increasing the patient’s pain. According to reports, the above method of bile leakage was 3.6% [3]. to alleviate the common bile duct exploration due to excessive damage caused to avoid bile duct exploration after T tube brought home the pain and avoid using duodenoscopy placed