摘要
目的探讨腹腔镜胆囊切除术中经内镜逆行胆胰管造影和十二指肠乳头括约肌切开取石一期手术（即Intra—ERCP／EST＋LC）治疗胆囊结石合并胆总管结石的优越性。方法回顾性分析72例Intra—ERCP／EST＋LC的患者资料，选择同一时期实施先内镜逆行胆胰管造影和十二指肠乳头括约肌切开取石、再行腹腔镜胆囊切除两次手术（即Pre—ERCP／EST＋LC）的53例患者作为对照组，分析两组患者手术耗时、术后住院日、住院总费用及并发症指标。结果与Pre-ERCP／EST＋LC组患者相比，Intra—ERCP／EST＋LC组患者术后住院日[（4．20±1．56）d，t=6．420，P=0．003]、住院总费用[（25332．28±1305．13）元，t=3．423，P=0．031]均明显降低，术后各并发症两组差异无统计学意义，总体并发症发病率Intra—ERCP／EST＋Lc组明显低于对照组（t=16．749，P=0．000）。结论对于胆总管直径小于1．0cm的患者，Intra—ERCP／EST＋LC一期手术能降低住院时间和住院费用，并具有微创、快速康复优势。
Objective To investigate the advantages of Intra-ERCP/EST ＋ LC in the treatment of cholecysto- choledocholithiasis. Methods Target on operative time consuming, post-operative hospital stay, total hospitaliza- tion costs and post-operative complications, a retrospective analysis was made beteewn 72 patients who received In- tra-ERCP/EST ＋ LC, and 53 cases as control group who received Pre-ERCP/EST ＋ LC during the same period inour hospital. Results Compared with the Pre-ERCP/EST ＋ LC group, post-operative hospital stay [ （4.20 ± 1.56） days, t =6. 420, P =0. 003） ], total hospitalization costs [ （25332.28 ± 1305.13） yuan, t = 3. 423, P = 0.031 ） 1 of Intra- ERCP/EST were lower significantly, respectively. Post- operative complications in the two groups had no significant difference. The overall complication rate beteewn these two group was significantly difference （x2 = 16. 749, P = 0. 000）. Conclusion For cholecystocholedocholithiasis patients with bile duct diameter less than 1.0 cm, one-stage Intra-ERCP/EST ＋ LC procedue can reduce the hospitalization time and overall expenses, and has more advantages of minimally invasive and rapid recovery.
出处
《国际外科学杂志》
2016年第7期457-461,共5页
International Journal of Surgery
基金
基金项目：苏北医院医疗技术扶持项目（FCJS201404）
关键词
胆总管结石
胆囊切除术
腹腔镜
胰胆管造影术
内窥镜逆行
Choledocholithiasis
Cholecystectomy, laparoscopic
Cholangiopanereatography, endoscopic retrograde
