秦明放 张晓东 李文 邹富胜 鲁焕章 300100 天津南开医院内镜外科 中华消化内镜杂志 2000 0 17 2


    关键词：腹腔镜；十二指肠镜；胆道镜；胆总管结石 期刊 zhxhnjzz 0 71-73 论著 fur -->


    

【摘要】目的探讨运用多种微创治疗手段，治疗经内镜取石失败的胆总管结石患者。方法运用三镜联合的手术方式(术前内镜下经鼻胆管引流、腹腔镜胆总管探查术及术中胆道镜)，对39例胆总管结石患者进行微创治疗。结果39例手术均获成功，无中转开腹,无残留结石及严重并发症。术后住院时间明显缩短，而手术时间与开腹手术相似。部分病例随访半年以上未见远期并发症。结论三镜联合行胆囊切除、胆总管探查术对于有较高内镜、腹腔镜技术水平的医疗单位是切实可行和安全可靠的，此术式可代替大部分开腹胆总管探查术。

Combined endoscopies for choledocholithiasis

QIN Mingfang, ZHANG Xiaodong, LI Wen, et al.

    (Department of Endoscopic Surgery, Tianjin Nankai Hospital, Tianjin 300100, China)

【 Abstract 】 Objective Multiple endoscopies were combined to extract special common bile duct (CBD) stones that failed to respond to ordinary EST (endoscopic sphincterotomy) . Methods 39 patients were admitted to have the procedures, i.e. endoscopic nasobiliary drainage, ENBD ......

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