中国临床医学2011，Vol.18Issue(6)：814-815,2.
腹腔镜联合十二指肠镜治疗胆囊结石合并胆总管结石
Clinical Study on Combined Usage of Laparoscopy and Duodenoscopy in the Treatment of Gallbladderstone and Common Bile Duct Stone
沈卫星 1崔恒官 1潘申 1黄雄1
作者信息
- 1. 复旦大学附属中山医院青浦分院普外科,上海201700
- 折叠
摘要
Abstract
Objective:To study the chinical effect of the combined usage of Iaporoscopy and duodenoscopy in the treatment of gallbladderstone and common bile duct(CBD) stone. Methods: A retrospective study was made on 35 cases of gallbladderstone and commom bile duct stone undergoing combination of laparoscopy and duodenoscopy in our hospital from January 2009 to December 2010, and the clinical effect was analysed. All the cases were carried out endoscopic retrograde cholangiopancreatogra-phy (ERCP) and endoscopic sphincterotomy(EST) to pick out CBD stones,and endoscopic retrograde biliary drainage (ERBD) followed. Laparoscopic cholecystectomy (LC) was performed about three days after the ERCP. The biliary stent was picked out by duodenoscopy and all the patients were rechecked by ERCP to see whether any stone was left in bile duct within two weeks after being discharged. Results: The common bile duct stones were picked out thotoughly in all the 35 cases. 1 case had intraoperative bleeding when treated by EST. Thirty-four cases were successfully treated by LC, and only 1 case was conversed to open laparocholecystectomy. No bile leakage, duodenal perforation or jaundice occurred except that two cases have acute pancreatitis after operation. Conclusions: The combination of Iaporoscopy and duodenoscopy to treat gallstone and CBD stone appears to be effective, minimally invasive and quick rehabilitation. It may be widely conducted as a minihurt technique in biliary tract surgery.关键词
胆总管结石/腹腔镜/十二指肠镜/胆囊结石Key words
Common bile duct stone/ Laparoscopy/ Duodenoscopy/ Gallbladderstone分类
医药卫生引用本文复制引用
沈卫星,崔恒官,潘申,黄雄..腹腔镜联合十二指肠镜治疗胆囊结石合并胆总管结石[J].中国临床医学,2011,18(6):814-815,2.
