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腹腔镜、胆道镜联合钬激光治疗胆总管下端嵌顿性结石28例

孙庆宇

中国医药科学Issue(23):198-199,2.
中国医药科学Issue(23):198-199,2.

腹腔镜、胆道镜联合钬激光治疗胆总管下端嵌顿性结石28例

Laparoscopy combined with choledochofiberscopy for holmium laser cholelithotripsy:report of 28 cases

孙庆宇1

作者信息

  • 1. 南京医科大学附属常州第二人民医院普外科,江苏常州 213000
  • 折叠

摘要

Abstract

Objective To evaluate the safety and efficacy of holmium laser cholelithotripsy by laparoscopy combined with choledochofiberscopy for patients with complicated choledocholithiasis. Methods From January 2009 to October 2013,there were 28 cases with complicated choledocholithiasis undergoing laparoscopy and choledochofiberscopy for holmium laser cholelithotripsy. By holmium laser cholelithotripsy(1.5J/10Hz, 200um fiber),the stones were fragmented and extracted. Results The stones of 28 cases were completely removed without leading to bile leakage.Hemobilia in one case,improved after conservative treatment.27 cases were followed up for 2 to 24 months,in the rate of 96.4%.No recurrence of stones and biliary strictures. Conclusion Holmium laser cholelithotripsy by laparoscopy combined with choledochofiberscopy is intuitive,accurate and effective and accurate approach for complicated choledocholithiasis.

关键词

腹腔镜/胆道镜/钬激光/胆总管结石

Key words

Laparoscopy/Choledochofiberscopy/Holmium laser/Choledocholithiasis

分类

医药卫生

引用本文复制引用

孙庆宇..腹腔镜、胆道镜联合钬激光治疗胆总管下端嵌顿性结石28例[J].中国医药科学,2013,(23):198-199,2.

中国医药科学

2095-0616

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