腹腔镜联合内镜微创手术治疗胆囊结石合并胆总管结石的临床观察

被引：17

作者：

柳再奎

机构：

[1] 湖南省岳阳市岳化医院普外科

来源：

中国现代手术学杂志 | 2010年 / 14卷 / 03期

关键词：

胆囊结石病; 胆总管结石; 胆囊切除术,腹腔镜; 腹腔镜检查; 胆总管探查取石术; 内窥镜乳头括约肌切开术;

D O I：

10.16260/j.cnki.1009-2188.2010.03.007

中图分类号：

R657.4 [胆囊、胆管];

学科分类号：

100408 [卫生政策与卫生管理学];

摘要：

目的探讨腹腔镜联合内镜微创手术治疗胆囊结石合并胆总管结石的疗效。方法回顾性分析95例胆囊结石合并胆总管结石病人行腹腔镜联合内镜微创手术治疗的临床资料。结果本组63例先行十二指肠镜下乳头括约肌切开术(endoscopic sphincterotomy,EST)治疗,其中59例成功行EST+腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC),但术中并发十二指肠乳头少量出血2例,术后发生胆道感染1例,出现可疑十二指肠漏1例;4例EST取石失败后1周内改开腹手术,术后并发腹腔感染1例,胆漏1例。23例顺利行LC+腹腔镜胆总管探查取石术,其中腹腔镜胆囊管探查取石5例,腹腔镜胆总管切开取石18例。9例因疑诊胆总管结石而先行LC,术后2～4 d再行EST。术后随访6～12个月,均未出现反流性胆管炎、乳头狭窄等并发症,无胆管结石残留。结论腹腔镜联合内镜微创手术治疗胆囊结石合并胆总管结石效果满意。

引用

页码：171 / 173

页数：3

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