Objective To compare the clinical effect between self-release stent and T-tube drainage after laparoscopic corn-mom bile duct exploration. Methods the clinical data of 67 cases of Choledocholithiasis received laparoscopic commom bile duct expi-oration as treatment from February 2005 to May 2010 were analyzed retrospectively amony which self-release stent was used in 32 cases and T-tube drainagewas used in 35 cases, the operative time, blood loss, anal exhaust time, postoperative hospital stay, hospital costs, residual stone rate, catheter time, bile leakage and so on were compared between the two groups. Results There were no statistical difference in the speritoneal drainage duration, postoperative recovery anal exhaust time and postoperative complications ( bile leakage, residual stones) ( P > 0.05 ) , while the self - release stent group operation time, intraoperative blood loss, postoperative hospital stay-time and expenses are less than that in the T-tube group, the difference betweenthe two groups were statistically significant ( P <0. 05). Conclusions Compared the self-release stent with T-tube drainage after laparoscopic commom bile duct expioration, the self-release stent is more safe and feasible, to better reflect the superiority of laparoscopic technique,which is worth promoting in the common bile duct stones surgery.%目的 对比研究腹腔镜胆总管探查术(LCBDE)自行脱落胆道支架内引流与置“T”管引流的临床疗效.方法 回顾性分析我院2005年02月～2010年05月收治的胆总管结石患者67例的临床资料,分为腹腔镜胆总管探查术自行脱落胆道支架内引流组（32例）和腹腔镜胆总管探查术T管引流组（35例）比较观察两组间患者的手术时间、术中出血量、肛门排气时间、术后住院时间、住院费用、结石残留率、置管时间、胆漏等.结果 两组患者腹腔引流时间、术后肛门恢复排气时间、术后并发症（胆漏、残留结石）无统计学意义(P＞0.05,而支架组手术时间、术中出血量、术后住院时间及费用均少于T管组,两组差异有统计学意义(P＜0.05).结论 腹腔镜胆总管探查术自行脱落胆道支架内引流和常规T管引流相比,更安全可行,更能体现腹腔镜技术的优越性,在胆总管结石手术中值得推广.
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