腹腔镜胆囊切除术与内窥镜逆行胰胆管造影术/内窥镜下Oddi括约肌切开取石术联合治疗胆囊结石合并胆总管结石  

Clinical study of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography/endoscopic Oddi sphincterotomy on the treatment of cholecystolithiasis complicated by choledocholithiasis

作　　者：沈其猷[1] 王斌[1] 张春新[1] 吉成冈[2] 

机构地区：[1]广东省东莞市虎门医院外科,523902 [2]广东省东莞市太平人民医院外科

出　　处：《中国医师进修杂志》2011年第14期24-26,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨腹腔镜胆囊切除术（LC）与内窥镜逆行胰胆管造影术（ERCP）/内窥镜下Oddi括约肌切开取石术（EST）联合治疗胆囊结石合并胆总管结石的临床价值.方法 回顾性分析2005年1月至2010年8月应用LC和ERCP/EST联合治疗胆囊结石合并胆总管结石48例患者的临床资料.结果 48例患者中ERCP成功46例,LC完成45例,术后恢复快,住院时间短,46例随访3～12个月无结石残留及严重并发症发生.结论 联合LC与ERCP/EST的优势,治疗胆囊结石合并胆总管结石符合微创外科理念,具有住院时间短、创伤小、患者恢复快等优点,是目前治疗胆囊结石合并胆总管结石较为理想的选择.Objective To discuss the clinical value of laparoscopic cholecystectomy （LC） combined with endoscopic retrograde cholangiopancreatography （ERCP）/endoscopic Oddi sphincterotomy （EST） on treating choledocholithiasis with cholecystolithiasis. Method The clinical data of 48 patients with choledocholithiasis complicated by cholecystolithiasis treated with LC combined with ERCP/EST from January 2005 to August 2010 was collected and analyzed retrospectively. Results Forty-six patients achieyed success by ERCP,and 45 patients finished LC,all patients underwent LC combined with ERCP/EST were recovered more rapidly,with shorter hospital stays. No severe complications or residual stone and refluent cholangitis in the follow-up of 3-12 months of 46 patients. Conclusions Combining the advantages of LC with ERCP/EST treating patients with choledocholithiasis complicated by cholecystolithiasis,according to the theoretics of minimally invasive surgery, with less invasive and the advantages of shorter hospital stays and rapid recovery. It is the comparatively ideal choice for the treatment of choledocholithiasis complicated by cholecystolithiasis at present.

关 键 词：外科手术 微创性 胆囊切除术 腹腔镜 内窥镜检查 胆囊结石病 

分 类 号：R657.4[医药卫生—外科学]