| LC联合术中ERCP一期治疗胆囊结石合并胆总管结石的临床分析 |
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| 引用本文： | 包海标,徐毅,吕宾,李宁,傅永清,吴可人,徐涛,孙翠萍,许薇薇.LC联合术中ERCP一期治疗胆囊结石合并胆总管结石的临床分析[J].临床肝胆病杂志,2011,27(9):922-924. |
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| 作者姓名： | 包海标 徐毅 吕宾 李宁 傅永清 吴可人 徐涛 孙翠萍 许薇薇 |
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| 作者单位： | 浙江中医药大学附属第一医院,杭州,310006 |
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| 摘 要： | 目的探讨腹腔镜胆囊切除术（LC）联合术中内镜下逆行胆胰管造影（ERCP）及乳头切开（EST）取石一期治疗胆囊结石合并肝外胆管结石的可行性和安全性。方法回顾分析应用LC联合术中ERCP一期治疗胆囊结石合并肝外胆管结石36例的临床资料,分析原发病、手术方式、术后康复、住院时间及并发症。结果术前明确胆总管结石31例中10例先行术中ERCP取石,取石成功后再行LC;余21例和5例术前怀疑胆总管结石、术中经胆囊管胆道造影（TCC）证实胆总管结石者先行LC,继而行ERCP取石。LC手术均获成功,ERCP取石成功率为97.22%。术后5例出现一过性血淀粉酶升高,无明显出血、胆漏等并发症,术后住院平均为4 d。结论 LC联合术中ERCP一期治疗胆囊结石合并肝外胆管结石安全、有效,可避免不必要的ERCP及因术后ERCP失败而致患者再次手术。
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| 关 键 词： | 胆囊结石病 胆总管结石 胆囊切除术 腹腔镜 胰胆管造影术 内窥镜逆行 扩约肌切开术 内窥镜 |
LC combined with intraoperative ERCP for the onestage treatment of gallbladder stone with choledocholithiasis |
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| BAO Hai-biao,XU Yi,LV Bin,et al..LC combined with intraoperative ERCP for the onestage treatment of gallbladder stone with choledocholithiasis[J].Chinese Journal of Clinical Hepatology,2011,27(9):922-924. |
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| Authors: | BAO Hai-biao XU Yi LV Bin |
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| Institution: | BAO Hai-biao,XU Yi,LV Bin,et al.(The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China) |
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| Abstract: | Objective To explore the feasibility and safety of LC combined with intraoperative ERCP for the onestage treatment of gallbladder stone with choledocholithiasis.Methods Thirty-six patients with gallbladder stone and choledocholithiasis were treated with the combined procedures and the operation,postoperative recovery,hospital stay,and complications were retrospectively analysed.Results 10 of 31 patients with preoperative diagnosed choledocholithiasis were successfully treated by ERCP at first,then underwent... |
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| Keywords: | cholecystolithiasis choledocholithiasis cholecystectomy laparoscopy cholangiopancreatography endoscopic retrograde sphincterotomy endoscopic |
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