腹腔镜下胆道探查与内镜Oddi括约肌切开取石的研究
胆总管结石,,胆总管结石;腹腔镜;括约肌切开术,内窥镜,1资料与方法,2结果,3讨论,参考文献:
【摘要】目的:探讨腹腔镜胆道探查取石,T管引流术和腹腔镜胆囊切除一期联合内镜Oddi括约肌切开取石治疗胆总管结石合并胆囊结石的临床应用价值。方法:统计分析研究组(77例腹腔镜胆道探查取石即LCHTD及43例腹腔镜胆囊切除一期联合内镜Oddi括约肌切开取石即LCEST)与对照组(60例常规开腹胆总管探查即OCHTD)胆总管结石合并胆囊结石患者的临床资料。结果:研究组胆总管结石合并胆囊结石120例中111例行微创手术取得成功,占925%,与对照开腹探查组相比,术后恢复较好,住院时间短,取得了较满意的效果(P<005);研究组中运用LCHTD的患者较LCEST的患者手术操作时间、术后腹痛、恶心及住院天数差异有显著性(P<005)。两者在胆总管内径及结石大小方面差异亦有显著性(P<005)。结论:LCHTD与LCEST两种术式微创,安全且临床疗效可靠,能代替大部分开腹胆总管探查术;腹腔镜胆总管探查取石法总体上优于腹腔镜胆囊切除一期联合内镜Oddi括约肌切开取石法。胆总管直径>10cm者行LCHTD是一种安全可行的方法。若胆总管内径<1cm,且胆总管结石<10cm,建议行LCEST。【关键词】 胆总管结石;腹腔镜;括约肌切开术,内窥镜
The evaluation of laparoscopic common bile duct exploration and laparoscopic cholecystectomy with endoscopic sphincterotomy on patients with common bile duct stones
GU Aidong,LI Xiangnong,GUO Kexun1,et al.
Third People’s Hospital of Xuzhou,Xuzhou 221005,China;The Hospital attached to Xuzhou Medical College
【Abstract】Objective:To evaluate the clinical values of laparoscopic choledocholithotomy Ttube drainage (LCHTD) and laparoscopic cholecystectomy with endoscopic sphincterotomy (LCEST) on patients with common bile duct stones.Methods:A total of 180 cases were studied ......
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