摘要
目的总结腹腔镜联合纤维胆道镜和十二指肠镜治疗肝外胆管结石的效果。方法回顾性分析114例肝外胆管结石合并(或不合并)胆囊结石经内镜联合腹腔镜的临床资料。结果ERCP全部成功,EST操作成功112例(98.2%),8例(7.1%)EST后并发急性胰腺炎,41例(36.6%)术后一过性血淀粉酶升高,20例(17.8%)EST后胆红素较术前轻度升高,均经保守治疗痊愈。EST术后LC成功28例,术中胆道镜取石12例,1例中转开腹无严重并发症,1例患者EST术中出现十二指肠穿孔。EST联合LC、胆道镜治疗结石成功率96.4%(110/114)。结论LC联合EST、胆道镜能成功治疗肝外胆管结石,具有微创、效果好、恢复快等优点。
Objective To study the effect of combined endoscopy and laparoscopic mini-invasive management for cholelithiasis. Methods Clinical data of 114 cases of cholelithiasis treated by combined endoscopy and laparoscopy were reviewed. Results All patients underwent ERCP successfully, and EST were successful in 112 patients （98.2%）. After EST,8 patients complicated with acute pancreatitis ,41 with increased hemodiastase for short time ,20 with increased bilirubin lightly. LC were performed in 28 cases,including fibercholangioscopy for the treatment of cholelithiasis in 12 patients. One patient was converted to laparotomy without severe complications. One patient suffered from duodenum perforation during EST. EST combined with laparoscopic cholecystectomy and fibercholangioscopy had a high success rate （ 96.4% , 110/114 ） for cholelithiasis. Conclusion Laparoscopic cholecystectomy combined with EST and fibercholangioscopy has many advantages in management for cholelithiasis, such as minimal invasion, rapid recovery and better result.
出处
《微创医学》
2008年第1期22-24,共3页
Journal of Minimally Invasive Medicine
关键词
腹腔镜
内镜
胆石症
Laparoscopy
Endoscopy
Cholelithiasis
