摘要
[目的]探讨联合应用十二指肠镜oddi括约肌切开术(endoscopic sphinctertomy,EST)和腹腔镜胆囊切除术(iaparoscopie cholecystectomy,LC)一期治疗胆囊合并胆总管继发结石的方法和价值。[方法]对68例胆囊结石合并胆总管结石的病人先行ERCP、EST清除胆管结石后立即入手术室行LC手术。[结果]68例均顺利完成EST和LC,术中、术后无严重并发症发生,术后2～4d出院。[结论]联合应用EST和LC一期治疗胆囊和胆总管结石病切实可行,该法具有手术成功率高、不延长麻醉时间、住院时短等优点。
[Objective] To explore the method and significance of the combined application of oddi endoscopic sphinetertomy （EST） and iaparoscopie eholecystectomy （LC） in the first stage treatment of the patients with eholedoeholithiasis secondary to eholeeystolithiasis. [Methods] 68 cases with eholedochoiithiasis secondary to choleeystolithiasis underwent immediate LC operation after the removal of calculus of l^ile duet with the methods of ERCP and EST. [ Results] All the 68 operations were completed successfully and no complications happened both in and after the operations. All the patients discharged two or four days after the operations. [Conclusions] The combined application of EST and LC is effective and feasible in the first period treatment of the disease of gallbladder stones together with common duct stones. It has the advantages of higher rate of sueeesstul operation without time-extension of anesthesia and short length of hospitalization.
出处
《现代预防医学》
CAS
北大核心
2007年第12期2381-2381,2383,共2页
Modern Preventive Medicine
关键词
胆囊、胆总管结石
腹腔镜
内窥镜
Gallbladder
Choledocholithiasis
Peritoneoscope
Endoscope
