腹腔镜外科杂志2017，Vol.22Issue(5)：352-355,4.DOI:10.13499/j.cnki.fqjwkzz.2017.05.352
胆囊结石合并胆总管结石的微创治疗体会
Clinical trials of the efficiency of mini-invasive treatment for cholecystolithiasis and choledocholithiasis
徐浩 1孙举来 1芮翾 1邵远 1赵中伟1
作者信息
- 1. 马鞍山市中心医院,安徽 马鞍山,243000
- 折叠
摘要
Abstract
Objective:To compare the clinical efficacy between laparoscopic cholecystectomy (LC)+laparoscopic common bile duct exploration (LCBDE) and endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST)+LC for cholecystolithiasis and choledocholithiasis.Methods:Patients who were diagnosed with gallbladder stones with common bile duct stones from Jan.2010 to Nov.2015 were selected,of whom the adult patients who were classified as ASA Ⅰ-Ⅱ and could tolerate abdominal surgery and ERCP were chosen as research objects.Patients who had critical cholecystitis,acute cholangitis or required conservative treatment were excluded.The patients were divided into two groups:the patients treated by LC+LCBDE were named as laparoscopic group and the patients treated by ERCP/EST+LC were named as endoscopic group.The indicators such as blood loss,operation time,hospital stay,hospitalization costs and postoperative complications were compared between the two groups.Results:Of the 76 included patients,30 cases belonged to laparoscopic group,in which 2 cases were not taken in to account for conversion to laparotomy;and 46 cases belonged to endoscopic group,of which 2 cases were excluded for conversion to laparotomy after failure of ERCP.There was no statistically significant difference in blood loss and postoperative complications in two groups.But the laparoscopic group was superior to endoscopic group in operation time,hospital stay as well as hospitalization costs,and the differences were statistically significant.Conclusions:The efficacy of LC+LCBDE vs.ERCP/EST+LC for gallbladder stones with common bile duct stone is equivalent,while the former one is much more affordable.关键词
胆囊结石病/胆总管结石/腹腔镜检查/内窥镜检查Key words
Cholecystolithiasis/Choledocholithiasis/Laparoscopy/Endoscopy分类
医药卫生引用本文复制引用
徐浩,孙举来,芮翾,邵远,赵中伟..胆囊结石合并胆总管结石的微创治疗体会[J].腹腔镜外科杂志,2017,22(5):352-355,4.
