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胆囊结石合并胆总管结石的微创保胆治疗

张程鹏 陈光春 侯东生 叶劲松 惠栓 华沪玮 刘衍民

腹腔镜外科杂志2013,Vol.18Issue(1):43-45,3.
腹腔镜外科杂志2013,Vol.18Issue(1):43-45,3.

胆囊结石合并胆总管结石的微创保胆治疗

Minimally invasive cholecystolithotomy in the treatment of cholecystolithiasis and choledocholithiasis

张程鹏 1陈光春 1侯东生 1叶劲松 1惠栓 1华沪玮 1刘衍民1

作者信息

  • 1. 广州医学院第一附属医院,广东广州,510230
  • 折叠

摘要

Abstract

Objective:To evaluate the clinical efficacy of endoscopic minimally invasive cholecystolithotomy (EMIC) in the treatment of cholecystolithiasis and choledocholithiasis, and investigate the new therapy of cholelithiasis in mini-invasive surgery. Methods:Forty-one patients who were diagnosed as cholecystolithiasis and common bile duct granulo-calculi between Jul. 2008 and Sep. 2012 underwent endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST). Endoscopic naso-bil-iary drainage (ENBD) tube was placed so that cholangiography could be applied to verify whether calculi were completely removed. Re-SUltS;The operations were successfully completed in these 41 cases. The ERCP time was (51 ±9. 1) min.the EMIC time was (48 ± 7.3) min.and there were no serious postoperative complications. The postoperative hospital stay was 2-5 d,mean (3. 5 ±0. 6) d. Conclusions: It is feasible and safe to practice ERCP + EST and EMIC in patient with cholecystolithiasis and choledocholithiasis. It can decrease suffering of patients,decurtate postoperative hospital stay,increase therapeutic efficacy,and expand the application of EMIC.

关键词

胆囊结石病/胆总管结石/保胆取石术/腹腔镜检查

Key words

Cholecystolithiasis/ Choledocholithiasis/ Cholecystolithotomy/ Laparoscopy

分类

医药卫生

引用本文复制引用

张程鹏,陈光春,侯东生,叶劲松,惠栓,华沪玮,刘衍民..胆囊结石合并胆总管结石的微创保胆治疗[J].腹腔镜外科杂志,2013,18(1):43-45,3.

基金项目

广东省医学科研基金(项目编号:A2012239) (项目编号:A2012239)

腹腔镜外科杂志

OACSTPCD

1009-6612

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