临床肝胆病杂志2011，Vol.27Issue(9)：922-924,3.
LC联合术中ERCP一期治疗胆囊结石合并胆总管结石的临床分析
LC combined with intraoperative ERCP for the onestage treatment of gallbladder stone with choledocholithiasis
包海标 1徐毅 1吕宾 1李宁 1傅永清 1吴可人 1徐涛 1孙翠萍 1许薇薇1
作者信息
- 1. 浙江中医药大学附属第一医院,杭州310006
- 折叠
摘要
Abstract
Objective To explore the feasibility and safety of LC combined with intraoperative ERCP for the onestage treatment of gallbladder stone with choledocholithiasis. Methods Thirty - six patients with gallbladder stone and choledocholithiasis were treated with the combined procedures and the operation, postoperative recovery, hospital stay, and complications were retrospectively analysed. Results 10 of 31 patients with preoperative diagnosed choledocholithiasis were successfully treated by ERCP at first, then underwent LC. Other 21 patients and 5 patients with suspected choledocholithiasis comlirmed by TCC were treated by LC at first, then underwent ERCP. ERCP was performed successfully in 35 cases (97. 22% ). 5 patients had postoperative hyperamylasemia temporarily, no other complications occurred. Mean postoperative hospitalization was 4 days. Conclusion Combined LC/ERCP can be performed safely, and there are advantages including onestage treatment, avoidance of unnecessary preoperative ERCP, and eliminating the need to return to the operation as the failure of postoperative ERCP.关键词
胆囊结石病/胆总管结石/胆囊切除术,腹腔镜/胰胆管造影术,内窥镜逆行/扩约肌切开术,内窥镜Key words
cholecystolithiasis/ choledocholithiasis/ cholecystectomy, laparoscopy/ cholangiopancreatography, endoscopic retrograde/ sphincterotomy, endoscopic分类
医药卫生引用本文复制引用
包海标,徐毅,吕宾,李宁,傅永清,吴可人,徐涛,孙翠萍,许薇薇..LC联合术中ERCP一期治疗胆囊结石合并胆总管结石的临床分析[J].临床肝胆病杂志,2011,27(9):922-924,3.
