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胆道镜引导下钬激光在胰管结石术中的应用

彭艳斌 胡雄 郭俊 李泽平 李振华

岭南现代临床外科Issue(2):139-142,4.
岭南现代临床外科Issue(2):139-142,4.DOI:10.3969/j.issn.1009-976X.2015.02.004

胆道镜引导下钬激光在胰管结石术中的应用

Cholangioscopy-guided holmium laser lithotripsy for the treatment of pancreatic duct stones:ten-case report

彭艳斌 1胡雄 1郭俊 1李泽平 1李振华1

作者信息

  • 1. 414000 湖南岳阳 岳阳市二人民医院肝胆外科
  • 折叠

摘要

Abstract

Objective To evaluate the clinical value of cholangioscopy-guided holmium laser lithotripsy for the treatment of pancreatic duct stones (PDSs). Methods Cholangioscopy-guided holmium laser lithotripsy was used in 10 patients with PDSs. Pancreato-jejunum Roux-en-Y anastomosis was performed after stone extraction. Results All surgical procedures were successfully performed and pancreatic duct stones were removed by the holmium laser. The duration of operation was 30~ 70 min (mean, 45 min). Postoperative recovery was smooth, no abdominal infection, hemorrhage, pancreatic leakage and death of the patient. Follow- up was conducted in all 10 cases for 4-36 months (mean, 11months). B-ultrasonography, abdominal CT and magnetic resonance cholangiopancreatography found no recurrent or residual stones , or pancreatic duct stricture. Conclusion Cholangioscopic holmium laser lithotripsy for the treatment of PDSs has advantages of minimal invasion , rapid recovery , satisfactory lithotripsy effects, simplicity of performance, and high reliability.

关键词

慢性胰腺炎/胰管结石/胆道镜/钬激光

Key words

Chronic pancreatitis/Pancreatic duct stones/Choledochoscope/Holmium laser

分类

医药卫生

引用本文复制引用

彭艳斌,胡雄,郭俊,李泽平,李振华..胆道镜引导下钬激光在胰管结石术中的应用[J].岭南现代临床外科,2015,(2):139-142,4.

岭南现代临床外科

1009-976X

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