肝胆胰外科杂志2016，Vol.28Issue(4)：270-272,3.DOI:10.11952/j.issn.1007-1954.2016.04.002
经皮肝径路胆胰镜下钬激光碎石术治疗胆管结石初探
Preliminary study on cholangiopancreatoscopic Holmium laser lithotripsy in percutaneoustran-shepatic path for the treatment of hepatolith
摘要
Abstract
Objective To explore the feasibility of cholangiopancreatoscopic Holmium laser lithotripsy in percutaneous transhepatic path for the treatment of hepatolith. Methods A total of 12 hepatolith patients difficult for operation were treated with cholangiopancreatoscopic Holmium laser lithotripsy in percutaneous transhepatic path. The PTCD tube was placed in bile duct postoperation, and PTCD tube could be removed after upper ab-domen CT indicated no obstruction of biliary tract and no residual stone in bile duct. Results All 12 hepatolith patients were treated successfully by cholangiopancreatoscopic Holmium laser lithotripsy in percutaneous tran-shepatic path. The operation duration was 1.0~3.5 h (average 2.5 h). Of the 12 cases, 5 cases were treated with lithotripsy once, 6 cases were treated with lithotripsy twice, and only 1 case was treated with thrice. There was 1 case with fever during operation. The displacement of PTCD was seen in 1 case. Conclusion Cholangiopancre-atoscopic Holmium laser lithotripsy via percutaneous transhepatic path is a minimally invasive, safe and effective treatment for hepatolith.关键词
胆胰镜/经皮肝穿刺径路/钬激光碎石术/肝胆管结石Key words
cholangiopancreatoscopy (mother-babyscopy)/percutaneous transhepatic path/Holmium laser lithotripsy/hepatolith分类
医药卫生引用本文复制引用
李幼林,潘江华,窦巩昊,尤孙武..经皮肝径路胆胰镜下钬激光碎石术治疗胆管结石初探[J].肝胆胰外科杂志,2016,28(4):270-272,3.基金项目
温州市科技局项目（201300013Y）。 （）
