急诊双镜联合手术治疗急性胆源性胰腺炎的临床体会(附35例报告)  

Clinical experience of laparoscopic emergency operation combined with choledochoscopy for acute biliary pancreatitis:with a report of 35 cases

作　　者：陈金水[1] 蔡晓棠[1] 张少炎[1] 张罕松[1] 湛继久[1] 王铁虎[1] 李燕[1] 

机构地区：[1]解放军第477医院,湖北襄樊441003

出　　处：《腹腔镜外科杂志》2009年第12期903-905,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨急诊腹腔镜联合电子胆道镜手术治疗急性胆源性胰腺炎（acute biliary pancreatitis,ABP）的可行性及疗效。方法：回顾分析2002年5月至2008年12月我院急诊行腹腔镜胆囊切除术联合腹腔镜胆总管探查术35例ABP患者的临床资料,其中20例同时行胰腺被膜切开、腹腔置管引流术。结果：35例手术成功,患者均治愈,随访6~58个月,平均28.2个月,无手术并发症和（或）胰腺炎及胆总管结石复发。结论：急诊行双镜联合手术治疗ABP是安全可行的。Objective：To investigate the feasibility and curative effect of laparoscopic emergency operation combined with electronic choledochoscopy in the treatment of patients with acute biliary pancreatitis（ABP）.Methods：From May 2002 to Dec.2008,clinical data of 35 cases with ABP who underwent emergent laparoscopic surgery combined with electronic choledochoscopy were retrospectively analyzed.All of the 35 cases were treated with laparoscopic cholecystectomy and common bile duct exploration,including 20 cases performed opening of the pancreatic capsule and placement of irrigation tubes.Results：All operations succeeded.35 cases were uneventfully recovered.The follow-up was 6-58 months（mean 28.2 months）.Conclusions：Emergent laparoscopic surgery combined with choledochoscopy is a safe and feasible treatment for ABP.

关 键 词：胰腺炎 胆囊切除术 腹腔镜 胆道镜检查 治疗结果 

分 类 号：R657.5[医药卫生—外科学]