中国医学创新2025，Vol.22Issue(12)：42-46,5.DOI:10.3969/j.issn.1674-4985.2025.12.011
腹腔镜联合一次性胆道镜在经胆囊管途径行胆总管探查术取石中的临床应用
Clinical Application of Laparoscopic Combined with Disposable Cholangioscopy in the Exploration of the Common Bile Duct through the Cystic Duct for Stone Removal
摘要
Abstract
Objective:To explore the clinical application of laparoscopic transcystic common bile duct exploration(LTCBDE)in the treatment of gallbladder stones combined with choledocholithiasis.Method:A total of 60 patients with gallbladder stones and choledocholithiasis admitted to Department of Hepatobiliary Surgery of the First People's Hospital of Jingdezhen were retrospectively analyzed between October 2023 and April 2024.According to different surgical methods,they were divided into experimental group(n=25,LTCBDE)and routine surgery group[n=35,laparoscopic cholecystectomy(LC)+laparoscopic common bile duct exploration(LCBDE)+T-tube drainage].The operation time,intraoperative blood loss,total length of hospital stay,levels of amylase and total bilirubin,and incidence of surgery-related complications in the two groups were recorded and compared.Result:The operation time and total length of hospital stay in experimental group were shorter than those in routine surgery group(P<0.05).At 1 d after surgery,there were no significant differences in amylase(AMS)or total bilirubin(TBIL)between the two groups(P>0.05).At 3 days after surgery,the above-mentioned detection levels were significantly decreased in both groups,those were lower in experimental group than those in routine surgery group(P<0.05).The incidence of postoperative complications in experimental group was significantly lower than that in routine surgery group(P<0.05).Conclusion:LTCBDE has advantages such as rapid recovery and fewer complications,with high clinical application value.关键词
胆总管结石/胆囊结石/经胆囊管胆道镜检查Key words
Choledocholithiasis/Gallbladder stone/Transcystic choledochoscopy引用本文复制引用
李强,赵俊,杨建方,王俊,张小斌..腹腔镜联合一次性胆道镜在经胆囊管途径行胆总管探查术取石中的临床应用[J].中国医学创新,2025,22(12):42-46,5.基金项目
景德镇市科技计划项目(2021ISFZC011) （2021ISFZC011）
