临床肝胆病杂志2025，Vol.41Issue(3)：513-517,5.DOI:10.12449/JCH250318
经口胆胰管镜联合内镜逆行胰胆管造影经十二指肠乳头胆囊息肉切除的疗效及安全性分析
Efficacy and safety of endoscopic retrograde cholangiopancreatography combined with oral cholangiopancreatography in the treatment of duodenal papilla cholecystectomy
摘要
Abstract
Objective To investigate the feasibility and safety of endoscopic retrograde cholangiopancreatography(ERCP)combined with oral cholangiopancreatography in the treatment of major duodenal papilla gallbladder polyps.Methods A retrospective analysis was performed for the clinical data of eight patients with choledocholithiasis and gallbladder polyps who underwent ERCP and combined with oral cholangiopancreatography for major duodenal papilla cholecystectomy in Center of Digestive Endoscopy,Jilin People's Hospital,from May 2022 to June 2024,and related data were collected,including the success rate of surgery,the technical success rate of gallbladder polyp removal,the superselective method of cystic duct,the time of operation,the time of gallbladder polyp removal,and surgical complications.Results Both the success rate of surgery and the technical success rate of gallbladder polyp removal reached 100%,and of all eight patients,three patients used guide wire to enter the gallbladder under direct view,while five patients received oral cholangiopancreatography to directly enter the gallbladder.The time of operation was 51.88±12.34 minutes,and the time of gallbladder polyp removal was 23.13±10.94 minutes.The diameter of gallbladder polyp was 2-8 mm,and pathological examination showed inflammatory polyps in three patients,adenomatous polyps in one patient,and cholesterol polyps in four patients.There were no complications during or after surgery.The patients were followed up for 2-27 months after surgery,and no recurrence of gallbladder polyp was observed.Conclusion Oral cholangiopancreatography is technically safe and feasible in endoscopic major duodenal papilla cholecystectomy.关键词
胆囊疾病/息肉/肝胰管壶腹/胰胆管造影术,内窥镜逆行/经口胆胰管镜Key words
Gallbladder Diseases/Polyps/Ampulla of Vater/Cholangiopancreatography,Endoscopic Retrograde/Oral Cholangiopancreatography引用本文复制引用
陶丽莹,陈思,杜迎亭,盖秀英,郭思捷,王宏光,郭庆梅,郭享,朴连玉,杨沐雨,于泳,阮丽斌,谷建彬..经口胆胰管镜联合内镜逆行胰胆管造影经十二指肠乳头胆囊息肉切除的疗效及安全性分析[J].临床肝胆病杂志,2025,41(3):513-517,5.基金项目
吉林市科技创新发展计划项目(20230406148) Science,Technology and Innovation Development Project of Jilin City(20230406148) （20230406148）
