中国内镜杂志2011，Vol.17Issue(11)：1193-1195,1200,4.
胆囊合并肝外胆管结石的微创治疗探讨
Discussion of minimally invasive surgery for cholecystolithiasis associated with calculus of extrahepatic bile duct
石玉宝 1康金旺 1鲁蓓 1郭为佳 1董万斌 1王新波1
作者信息
- 1. 北方学院附属第二医院普外科,河北宣化075100
- 折叠
摘要
Abstract
[Objective] To discuss the minimally invasive treatment methods, indications and safety for treating cholecystolithiasis associated with calculus of extrahepatic bile duct. [Method] 90 patients with cholecystolithiasis associated with calculus of extrahepatic bile duct were respectively treated by joint endoscopes and three endoscopes combined and observing clinical manifestations after operation. [Results] Among the 34 patients treated by three endoscopes combined, lease were performed laparotomy halfway (2.94%), 2 cases with bile leakage, and there was no other complication and no death . The mean operative time was 92 minutes.The mean postoperative hospital stay was 8 days.Among the 56 patients treated by joint endoscopes, 3 case were performed laparotomy halfway (5.36%), 2 cases with residual stones, and there was no bile leakage , no other complication and no death. The mean operative time was 73 minutes.The mean postoperative hospital stay was 6.5 days. [ Conclusion ] There are advantages such as minimal invasion and safety when treating cholecystolithiasis associated with calculus of extrahepatic bile duct by joint endoscopes and three endoscopes combined. The stage treatment by three endoscopes combined is more suitable for acute obstructive suppurative cholangitis patients. The joint endoscopes therapy in patients with non- acute inflammation is more economical, more secure and more acceptable.关键词
胆囊结石/肝外胆管结石/微创Key words
cholecystolithiasis/calculus of extrahepatic bile duct/minimally invasive分类
医药卫生引用本文复制引用
石玉宝,康金旺,鲁蓓,郭为佳,董万斌,王新波..胆囊合并肝外胆管结石的微创治疗探讨[J].中国内镜杂志,2011,17(11):1193-1195,1200,4.
