| 腹腔镜胆囊切除术中联合ERCP治疗胆囊结石合并肝外胆管结石 |
| |
| 引用本文： | 林天龙,毛志海,张卓,王明亮,郑民华.腹腔镜胆囊切除术中联合ERCP治疗胆囊结石合并肝外胆管结石[J].外科理论与实践,2011,16(6):541-544. |
| |
| 作者姓名： | 林天龙 毛志海 张卓 王明亮 郑民华 |
| |
| 作者单位： | 上海交通大学医学院附属瑞金医院外科上海市微创外科临床医学中心; |
| |
| 摘 要： | 目的:探讨腹腔镜胆囊切除(LC)术中联合ERCP治疗胆囊结石合并肝外胆管结石的临床应用价值。方法:通过分层匹配,回顾性分析LC术中及术前行ERCP治疗胆囊结石合并肝外胆管结石病例各41例,比较两组病例在手术操作时间、取石成功率、并发症发生率、住院时间、病人舒适度及住院相关费用等指标上的差异。结果:LC术中ERCP与术前ERCP具有相似的临床疗效和安全性,总体住院费用无统计学差异。虽然术中ERCP组的手术时间相对较长,但其住院时间较短,病人舒适度较好。结论:LC术中联合ERCP治疗胆囊结石合并肝外胆管结石具有较好的可行性,其应用前景值得期待。
|
| 关 键 词： | 胆总管结石 胆囊切除 逆行性胰胆管造影 腹腔镜 一期 |
Management of cholecystocholedocholithiasis by LC and intra-operative ERCP |
| |
| LIN Tian-long,MAO Zhi-hai,ZHANG Zhuo,WANG Ming-liang,ZHENG Min-hua.Management of cholecystocholedocholithiasis by LC and intra-operative ERCP[J].Journal of Surgery Concepts & Practice,2011,16(6):541-544. |
| |
| Authors: | LIN Tian-long MAO Zhi-hai ZHANG Zhuo WANG Ming-liang ZHENG Min-hua |
| |
| Institution: | LIN Tian-long,MAO Zhi-hai,ZHANG Zhuo,WANG Ming-liang,ZHENG Min-hua.Department of Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai Minimally Invasive Surgery Center,Shanghai 200025,China |
| |
| Abstract: | Objective This retrospective study discussed values of the clinical application of one-stage management consisting laparoscopic cholecystectomy(LC) and endoscopic retrograde cholangiopancreatography(ERCP) to treat cholecystocholedocholithiasis.Methods All the patients suffering cholecystocholedocholithiasis receiving LC with ERCP were categorized into either intra-or pre-operative ERCP groups.With stratified matching,each group contained 41 cases.The operation time,successful stone-extraction rate,complicat... |
| |
| Keywords: | Choledocholithiasis Cholecystectomy ERCP Laparoscopy One-stage management |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
| 点击此处可从《外科理论与实践》浏览原始摘要信息 |
| 点击此处可从《外科理论与实践》下载免费的PDF全文 |
