肝胆胰外科杂志2024，Vol.36Issue(8)：476-480,5.DOI:10.11952/j.issn.1007-1954.2024.08.007
内镜逆行胰胆管造影治疗先天性胆总管囊肿切除术后胆总管残端结石
Efficacy and safety of endoscopic retrograde cholangiopancreatography in the treatment of stones in residual end of common bile duct after congenital choledochal cyst resection
王翔 1牛帅 1尹燕楠 1张洪战 1张明 1庄东海 1张锎1
作者信息
- 1. 山东省立第三医院 肝胆外科,山东 济南 250031
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of endoscopic retrograde cholangiopancreatography(ERCP)in the treatment of stones in residual end of common bile duct.Methods The clinical data of 8 patients,who admitted to Shandong Provincial Third Hospital due to abdominal pain and diagnosed as stones in residual end of common bile duct after congenital choledochal cyst resection,and then received endoscopic treatment between Jan.2019 and Dec.2023,was retrospectively analyzed.The success rate of the ERCP operation,stone clearance rate,complication incidence rate,abdominal pain relief rate,stone recurrence rate,and canceration rate were analyzed.Results Among 8 patients,the average stone diameter was(1.12±0.35)cm,and the number of stones was(1.03±0.25).The overall success rate of ERCP operation was 100%(8/8),the first-time stone clearance rate was 87.5%(7/8),and the total stone clearance rate was 100%(8/8).One patient developed to mild post-ERCP bleeding.The abdominal pain of 8 patients were relieved to varying degrees.After 6 months to 2 years of follow-up,one patient was found with recurrent stones,one patient was found with early ampullary tumor and then received surgical treatment.Conclusion ERCP is effective and safe in the treatment of stones in residual end of common bile duct after congenital choledochal cyst resection.关键词
先天性胆总管囊肿/胆总管囊肿切除术/胆总管残端结石/内镜逆行胰胆管造影Key words
congenital choledochal cyst/choledochal cyst resection/stones in residual end of common bile duct/endoscopic retrograde cholangiopancreatography分类
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王翔,牛帅,尹燕楠,张洪战,张明,庄东海,张锎..内镜逆行胰胆管造影治疗先天性胆总管囊肿切除术后胆总管残端结石[J].肝胆胰外科杂志,2024,36(8):476-480,5.
