双镜联合胆总管探查取石在肝内外胆管结石中的应用  

Application of double mirror combined common bile duct exploration and lithotomy in the treatment of intrahepatic and extrahepatic bile duct stones

作　　者：邱峰 毛郁琪 常剑 Qiu Feng;Mao Yuqi;Chang Jian(Department of General Surgery,Suzhou Jiulong Hospital,Shanghai Jiao Tong University School of Medicine,Suzhou 215021,China)

机构地区：[1]上海交通大学医学院苏州九龙医院普外科,江苏省苏州市215021

出　　处：《现代科学仪器》2024年第6期263-267,共5页Modern Scientific Instruments

摘　　要：选取有腹腔镜上腹部手术史的肝内外胆管结石患者120例,据手术方式分成开放组、双镜联合组,另取双镜联合胆总管探查取石术的无腹部手术史肝内外胆管结石患者为对照组,比较3组干预效果。结果显示腹腔镜联合胆道镜胆总管探查取石在有腹腔镜上腹部手术史的肝内外胆管结石患者中适用,疗效优于开放手术,效果与无腹部手术史患者接近,远期并发症率及结石复发率较低。A total of 120 patients with intrahepatic and intrahepatic cholelithiasis with a history of laparoscopic epigastric surgery were retrospectively selected,and divided into open group and double-mirror combined group according to the operation method.Patients with intrahepatic and intrahepatic cholelithiasis without a history of abdominal surgery undergoing double-mirror combined common bile duct exploration and lithotomy were selected as the control group.The intervention effects of the three groups were compared.The results showed that laparoscopy combined with choledochoscope choledocholithotomy was suitable for patients with intraand intrahepatic bile duct stones with a history of laparoscopic upper abdominal surgery,and the efficacy was better than that of open surgery,and the effect was similar to that of patients without a history of abdominal surgery,with a lower rate of long-term complications and stone recurrence.

关 键 词：肝内外胆管结石 腹腔镜 胆道镜 胆总管探查取石 

分 类 号：R657.42[医药卫生—外科学]