腹腔镜外科杂志2013，Vol.18Issue(5)：368-370,3.
腹腔镜联合内镜逆行胰胆管造影术治疗胆囊结石合并胆总管结石的临床体会
Laparoscopy combined with endoscopic retrograde cholangiopancreatography for cholecystolithiasis complicated with choledocholithiasis
林涛 1周毅 1姚茹 1王钧 1疗如塘 1姜莉 1王苏丽 1谢艳1
作者信息
- 1. 解放军第四五一医院,陕西西安,710054
- 折叠
摘要
Abstract
Objective:To evaluate the best combination of endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for concomitant gallstones and common bile duct stones.Methods:The clinical data of 203 patients who underwent ERCP + endoscopic sphincterotomy (EST) and LC for concomitant cholecystolithiasis and choledocholithiasis from Jan.2007 to Nov.2012 were analyzed retrospectively.In 138 cases,common bile duct stones were removed by ERCP + EST followed by LC (ERCP + LC group).In 65 cases,LC was performed and followed by ERCP + EST (LC + ERCP group).Success rate of operations,hospital stay and complications were comparatively analyzed between the 2 groups.Results:There was no bleeding,perforation,severe pancreatitis or other severe complications occurred in any patients.The hospital stay of ERCP + LC group was shorter than that of the LC +ERCP group [(7.2 ± 2.1) d vs.(8.1 ± 1.9) d] with a significant difference (P ＜ 0.05).The overall incidence of complications in ERCP + LC group was 4.3％ (4 cases of residual bile duct stones,1 case of acute mild pancreatitis and 1 case of cholangitis),which was lower than that of the LC + ERCP group (12.3％) (P ＜ 0.05).Conclusions:ERCP + EST followed by LC is an effective and safe treatment with fewer complications and quicker recovery for cholecystolithiasis complicated with choledocholithiasis.关键词
胆囊结石病/胆总管结石/胆囊切除术,腹腔镜/胰胆管造影术,内窥镜逆行/括约肌切开术,内窥镜Key words
Cholecystolithiasis/Choledocholithiasis/Cholecystectomy,laparoscopic/Cholangiopancreatography,endoscopic retrograde/Sphincterotomy,endoscopic分类
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林涛,周毅,姚茹,王钧,疗如塘,姜莉,王苏丽,谢艳..腹腔镜联合内镜逆行胰胆管造影术治疗胆囊结石合并胆总管结石的临床体会[J].腹腔镜外科杂志,2013,18(5):368-370,3.
