肝胆胰外科杂志2012，Vol.24Issue(3)：201-203,3.
胆肠吻合术后肝内胆管复发结石的微创治疗
The minimally invasive therapy for hepatolithiasis after cholodochojejunostomy
林美举 1杨玉龙 1张洪威 1史力军 1李婧伊 1于强 1张诚1
作者信息
- 1. 大连大学附属中山医院胆道微创外科,辽宁大连116001
- 折叠
摘要
Abstract
Objective To explore the role and value of cholednchoscope technique in the treatment of hepatolithiasis relapse alter choledochojejunostomy. Methods Thirteen patients with hepatolithiasis relapse underwent after choledochojejunostomy. In operation, the efferent loop of the choledoehojejunostomv was found out for diagnosis. T tube was indwelled in the efferent loop and the titanium nip mark was used around the T tube. The choledocoscopic examination was performed through T tube after operation. The stricture of the biliary tract was treated using the electric cut technique under choledochoscope, balloon expansion technique and plasma lithotripsy. The recurrent calculi were completely cleaned up with plasma lithotripsy as an auxiliary therapy. Results Calculi were completely cleaned up in 13 patients. The most stone-removed frequency was 9 times (average 3.9 times). Four cases of stricture of biliary tract underwent choledochoscope electric cut, 5 cases balloon expansion technique and 5 cases plasma lithotripsy. Conclusion Treatment of hepatolithiasis relapse after choledochojejunostomy using the choledochoscope combined with the electric cut, balloon expansion technique and plasma lilhotripsy via the efferent loop of eholedochojejunostomy is a safe, minimally invasive, efficacious and feasible. The efferent loop marked with titanium nip provides a safe and simple approach for the treatment of relapse of the hepalolithiasis after operation and is worth popularizing and clinical applying.关键词
电子胆道镜/胆肠吻合术/肝内胆管结石/复发Key words
electron choledochoscope/ choledochojejunostomy/ hepatolithiais/ relapse分类
医药卫生引用本文复制引用
林美举,杨玉龙,张洪威,史力军,李婧伊,于强,张诚..胆肠吻合术后肝内胆管复发结石的微创治疗[J].肝胆胰外科杂志,2012,24(3):201-203,3.
