摘要
目的研究电视腹腔镜技术对胆源性胰腺炎的治疗意义。方法对胆囊结石已排出,胰腺炎症状缓解,但仍有胆囊结石者1例施行 LC;对继发性胆总管结石伴急性胰腺炎,但无休克者7例施行LCTD;而对急性胰腺炎症状消除,但仍有原发性胆管结石,或因胰腺炎等原因所致胆总管远端狭窄者2例施行 LCJS。结果本组10例患者手术均获成功而痊愈出院,一般于术后24h 可进食,T 管于术后2-3周施行 T 管造影无异常发现,即可拔除。结论大多胆源性胰腺炎可经电视腹腔镜技术,LC,LCTD 与 LCJS治愈,值得推广。
AIMS To study the therapeutic significance of videolaparoscopic tech- niques on biliogenic pancreatitis. METHODS Laparoscopic video cholecystectomies(LC)were performed in Ome patients with calculi of gallbladder but remission,laparoscopic video choledocholithotomy T-tube drainages(LCTD)were done for 7 pa- tients with acute pancreatitis and cholangitis caused by secondary chole- docholithiasis but without shock,and laparoscopic video choledochoje- junostomies(LCJS)were used to treat 2 patients with primary bile duct calculi or distal bile duct obstruction caused by pancreatitis,cholangitis or duodenal papillitis. RESULTS All 10 patients with biliogenic pancreatitis were successfully cured by the operations usually they could take food 24 h after the operations,and the T-tube could be extrated 2-3 weeks after the opera- tion when the results of cholangiography were normal. CONCLUSIONS Most biliogenic pancreatitis can be cured with the videola- Paroscopic techniques,such as LC,LCTD and LCJS .
