双镜联合一次性治疗胆总管结石致急性梗阻性黄疸12例分析  

Analysis of Combination Disposable Treatment of Double Mirror for 12 cases of Acute Obstructive Jaundice Caused by Choledocholithiasis

作　　者：徐俊 刘春华[2] 

机构地区：[1]江苏宝应县人民医院普外科 [2]江苏宝应县人民医院消化内科

出　　处：《世界最新医学信息文摘》2017年第87期43-44,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨急诊腹腔镜联合十二指肠镜同期一次性治疗胆总管结石致急性梗阻性黄疸的可行性。方法对12例胆总管结石引起的梗阻性黄疸患者行腹腔镜胆囊切除术及内镜逆行胆胰管造影,采用乳头括约肌切开或球囊扩张取石,并放置鼻胆管引流。结果所有病例手术均成功,无中转开腹及严重并发症。结论腹腔镜联合十二指肠镜治疗胆总管结石引起的急性梗阻性黄疸具有安全、有效、微创、恢复快等优点。Objective To investigate the feasibility of emergency laparoscopic combined with duodenoscopy in the disposable treatment of acute obstructive jaundice caused by choledocholithiasis. Methods 12 cases of patients with obstructive jaundice caused by choledocholithiasis were treated with laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography. Endoscopic sphincteropapillotomy or endoscopic papillary balloon dilatation were used to remove stones. The nasal bile duct was placed for drainage. Results All patients underwent successful surgery, and there was no conversion to laparotomy and severe complications. Conclusion The advantage of laparoscopic combined with duodenoscopy in the treatment of acute obstructive jaundice caused by choledocholithiasis is safe, effective, minimally invasive and fast recovery and so on.

关 键 词：胆总管结石 梗阻性黄疸 腹腔镜胆囊切除术 并发症 

分 类 号：R657.42[医药卫生—外科学]