外科理论与实践2011，Vol.16Issue(6)：541-544,4.
腹腔镜胆囊切除术中联合ERCP治疗胆囊结石合并肝外胆管结石
Management of cholecystocholedocholithiasis by LC and intra-operative ERCP
林天龙 1毛志海 1张卓 1王明亮 1郑民华1
作者信息
- 1. 上海交通大学医学院附属瑞金医院外科 上海市微创外科临床医学中心,上海200025
- 折叠
摘要
Abstract
Objective This retrospective study discussed values of the clinical application of one-stage management consisting laparoscopic cholecystectomy (LC) and endoscopic retrograde cholangiopancreatography (ERCP) to treat cholecystocholedocholithiasis. Methods All the patients suffering cholecystocholedocholithiasis receiving LC with ERCP were categorized into either intra- or pre-operative ERCP groups. With stratified matching, each group contained 41 cases. The operation time, successful stone-extraction rate, complication rate, hospitalization length, patient comfort level, and hospitalization cost between the groups were compared. Results Both groups were similar in terms of clinical efficacy, safety, and total hospitalization cost. Although the intra-operative ERCP group needed longer operation time, it was implicated of a shorter hospital stay and a higher patient comfort level. Conclusions The combination of LC and intra-operative ERCP is feasible for cholecystocholedocholithiasis during a one-stage management. A respectful future is highly anticipated.关键词
胆总管结石/胆囊切除/逆行性胰胆管造影/腹腔镜/一期Key words
Choledocholithiasis/Cholecystectomy/ERCP/Laparoscopy/One-stagemanagement分类
医药卫生引用本文复制引用
林天龙,毛志海,张卓,王明亮,郑民华..腹腔镜胆囊切除术中联合ERCP治疗胆囊结石合并肝外胆管结石[J].外科理论与实践,2011,16(6):541-544,4.
