中国内镜杂志2024，Vol.30Issue(4)：52-58,7.DOI:10.12235/E20230381
胆总管结石合并胆囊结石患者内镜逆行胰胆管造影术后行腹腔镜胆囊切除术的时机研究
Study on the timing of laparoscopic cholecystectomy operation in patients with calculus of common bile duct combined with cholecystolithiasis after endoscopic retrograde cholangiopancreatography
梁琦 1杨勇 1辛国军 1张亚文1
作者信息
- 1. 宁夏回族自治区人民医院 肝胆外科,宁夏 银川 750011
- 折叠
摘要
Abstract
Objective To investigate the timing of laparoscopic cholecystectomy(LC)after endoscopic retrograde cholangiopancreatography(ERCP)in patients with calculus of common bile duct complicated by choledocholithiasis.Methods Retrospective analysis was performed on patients with calculus of common bile duct complicated by cholecystolithiasis treated with ERCP combined with LC from June 2015 to May 2023.All the eligible 258 patients were divided into group A(≤4 h),group B(24～72 h),and group C(＞72 h)according to different ERCP-LC intervals.Results LC operation time in group C was 58.0(46.0,73.0)min,which was significantly longer than that in group A[43.5(35.3,51.0)]min and group B[43.0(35.0,51.0)]min;The rate of intraabdominal drainage tube in group C was 31.3%(21/67),which was significantly higher than that in group A(8.9%)and group B(8.1%);There were 3 cases(2.2%)of four-hole LC in group B,significantly less than 7 cases(12.5%)in group A and 9 cases(13.4%)in group C;The total hospitalization time in group C was significantly longer than that in group A and group B,with statistical significance(P＜0.05).There was no significant difference in incidence of postoperative complications,repeated ERCP rate,length of stay after LC and hospitalization cost among the three groups(P＞0.05).Conclusion LC within 24～72 h after ERCP operation is a safe,effective,feasible and economical treatment opportunity for patients with calculus of common bile duct combined with cholecystolithiasis.关键词
内镜逆行胰胆管造影术(ERCP)/腹腔镜胆囊切除术(LC)/胆总管结石/胆囊结石Key words
endoscopic retrograde cholangiopancreatography(ERCP)/laparoscopic cholecystectomy(LC)/calculus of common bile duct/cholecystolithiasis分类
医药卫生引用本文复制引用
梁琦,杨勇,辛国军,张亚文..胆总管结石合并胆囊结石患者内镜逆行胰胆管造影术后行腹腔镜胆囊切除术的时机研究[J].中国内镜杂志,2024,30(4):52-58,7.
