ERCP后即时LC在治疗胆囊结石合并胆总管结石中的应用价值  

Value of LC immediately after ERCP for the treatment of gallbladder stone with choledocholithiasis

作　　者：梁和业[1] 乔秀丽[1] 王晓丰[1] 褚衍六[1] 高若辉 高孝忠[1] 

机构地区：[1]威海市立医院消化内科,山东威海264200

出　　处：《胃肠病学和肝病学杂志》2013年第7期704-705,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的对比分析内镜逆行胰胆管造影(endoscopic retrograde cholangio pancreatography,ERCP)胆总管取石后不同时间施行腹腔镜胆囊切除术(laparoscopic cholecysctomy,LC)治疗胆囊结石合并胆总管结石的临床疗效、安全性及治疗费用,探讨ERCP术后即时LC的可行性、经济性。方法回顾分析我院ERCP联合LC治疗的胆囊结石合并胆总管结石成功的患者55例,其中31例(A组)在ERCP术后1周左右行LC术,24例(B组)ERCP成功后即时行LC术。结果两组患者手术时间、术后并发症发生率无显著差异,B组住院时间及住院费用明显低于A组。结论 ERCP后即时LC治疗胆囊结石合并胆总管结石是安全、经济、有效的方法。Objective To explore the feasibility, safety and the cost of LC immediately after ERCP for the treatment of gallbladder stone with choledoeholithiasis. Methods 55 patients with gallbladder stone and choledocholithiasis treated with the LC combined ERCP successfully were retrospectively analyzed. Patients （31 cases） in group A underwent an ERCP/EST followed by LC one week later. Patients （24 cases） in group B underwent an ERCP/EST followed by LC immedieterly. Results Time of operation and complication rates were not statistically different between two groups. The length of stay and hospitalization expenses in group A were significantly higher than those in group B. Conclusion LC immediately after ERCP for the treatment of gallbladder stone with choledoeholithiasis is feasibility, safety and economy.

关 键 词：内镜逆行胰胆管造影术 腹腔镜胆囊切除术 胆总管结石 胆囊结石 

分 类 号：R575.7[医药卫生—消化系统]