ABSTRACT
From August 2019 to December 2019, 74 patients with choledocholithiasis underwent laparoscopic lithotomy, including 68 cases with primary suture of common bile duct and 6 cases with T-tube drainage. The operation time, postoperative length of hospital stay, hospitalization cost and complications of the two groups were compared. The operation time and length of postoperative hospital stay in primary suture were shorter than those in T-tube drainage group[ (88.1±29.9) min vs. (144.2±30.7) min; (3.9±1.5) d vs. (7.2±3.8) d, both P<0.05]; the hospitalization cost was lower[ (29 578±1 072) Yuan vs. (37 468±2 844) Yuan, P<0.05]. There was no significant difference in the incidence of postoperative complications between two groups ( P>0.05). The primary suture seems to be superior to T-tube drainage in laparoscopic lithotomy, however, two methods have different indications and should be selected according to the individual conditions of patients.
ABSTRACT
Objective To investigate the strategies in dealing with intraoperative CO2 embolizm during Laparoscopic hepatectomy (LH).Methods We collected and analyzed data from patients who underwent laparoscopic hepatectomy (LH) in our hospital from Jan.2013 to Aug.2017.There were 321 patients.The criteria for the diagnosis of CO2 embolism were rapid intraoperative decrease in petCO2 and SPO2 accompanied with tachyarrhythmia.Results 12 patients were diagnosed to have CO2 embolism.The rate was 3.7％.For these 12 patients,10 patients were dealt with laparoscopically and 2 patients were converted to open surgery.Conclusion CO2 embolism did not rarely occur in LH patients.Sophisticated operations and careful manipulation in LH are the only ways to prevent CO2 embolism.