腹腔镜胆囊切除胆总管取石后Ⅰ期缝合治疗胆囊结石合并胆总管大结石  

作　　者：周中成[1] 费发明 陈静[1] 沈亦钰[1] 陈徐艰[1] 

机构地区：[1]嘉兴医学院附属第二医院,314000

出　　处：《浙江临床医学》2017年第12期2214-2215,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省嘉兴市社会发展领域研究与示范应用项目（2016AY23055）

摘　　要：目的探讨经逆行胰胆管造影术（ERCP）、鼻胆管引流（ENBD）后腹腔镜胆囊切除胆总管切开取石后I期缝合治疗胆囊结石合并胆总管大结石的临床疗效。方法回顾2015年6月至2016年6月55例胆囊结石合并胆总管大结ENBD后经腹腔镜胆囊切除胆总管切开取石并I期缝合的临床资料。结果55例患者均无中转开腹，无术后出血、胆瘘及胆道结石残留等并发症发生，术后5~7d出院。结论腹腔镜联合ERCP治疗胆囊结石合并胆总管大结石胆总管切开I期缝合术安全可行，具有创伤小、康复快、并发症少及住院时间短等优点。Objective To explore the clinical efficacy retrograde eholangiopancreatography （ ERCP ） and naso-biliary drainage （ ENBD ） retroperitoneal laparoseopic bile duct stone after cholecystectomy primary suture in the treatment of cholecystolithiasis and common bile duct stones. Methods 55 patients with cholecystolithiasis and common bile duct stones underwent ENBD after laparoscopic cholecystectomy and common bile duct primary suture in our hospital form June 2015 to June 2016. Results 55 patients were not converted to open surgery, no postoperative bleeding, biliary fistula and residual stones and other complications occurred, and discharged 5~7d after surgery. Conclusions The laparoscopic combined ERCP treatment for cholecystolithiasis and common bile duct stones is safe and feasible, with less trauma, quicker recovery, fewer complications and shorter hospital stay, and so on.

关 键 词：腹腔镜 经内镜逆行胰胆管造影术 鼻胆管引流 胆囊结石 胆总管结石 胆总管Ⅰ期缝合 

分 类 号：R657.4[医药卫生—外科学]