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| 腹腔镜联合胆道镜胆道探查与开腹胆道探查的对比研究 | |
| 引用本文： | 彭彬,田云鸿,邓绍强,李敬东.腹腔镜联合胆道镜胆道探查与开腹胆道探查的对比研究[J].西部医学,2011,23(9):1739-1740. |
| 作者姓名： | 彭彬 田云鸿 邓绍强 李敬东 |
| 作者单位： | 1. 广安市人民医院普外科,四川广安,638000 2. 川北医学院附属医院普外科,四川南充,637000 3. 广安市人民医院放射科,四川广安,638000 |
| 摘 要： | 目的对比腹腔镜联合胆道镜胆道探查取石与开腹胆道探查取石术后残石率和并发症。方法选取2008年1月~2010年10月肝内外胆管结石行腹腔镜联合胆道镜胆道探查73例患者（腹腔镜组）,同时收集2005年1月~2007年12月间行开腹胆道探查取石患者59例（开腹组）,对比两组结石取尽率、并发症发生情况。结果腹腔镜组结石取尽率93.1%,开腹组结石取尽率94.9%,两组间结石取净率差异无统计学意义（P〉0.05）;开腹组腹腔积液发生率、切口感染率较腹腔镜组明显升高,住院时间开腹组明显延长;腹腔镜组肠道功能恢复时间明显缩短,差异有统计学意义（P〈0.05）。结论腹腔镜联合胆道镜胆道探查术治疗胆道结石疗效优于开腹胆道镜探查术。 |
| 关 键 词： | 腹腔镜 胆道镜 胆道探查 胆道结石 |
Compare the effect between laparoscopic combined with choledochoscope choledocholithotomy and laparotomy in common bile duct exploration |
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| PENG Bin,TIAN Yun-hong,DENG Shao-qiang,et al.Compare the effect between laparoscopic combined with choledochoscope choledocholithotomy and laparotomy in common bile duct exploration[J].Medical Journal of West China,2011,23(9):1739-1740. | |
| Authors: | PENG Bin TIAN Yun-hong DENG Shao-qiang |
| Institution: | PENG Bin1,TIAN Yun-hong2,DENG Shao-qiang2,et al (1.Department of General Surgery,Guang'an People Hospital,Guang'an 638000,Sichuan,2.Department of General Surgery,Sichuan North Medical College,Nanchong 637000,Sichuan) |
| Abstract: | Objective To compare the frequency of residual stone and complication between laparoscopic combined with choledochoscope choledocholithotomy and laparotomy in common bile duct exploration.Methods 73 consecutive patients with bile duct stone undergoing laparoscopic combined with choledochoscope choledocholithotomy(laparoscopic group) and 59 consecutive patients with bile duct stone undergoing laparotomy(open group) were analyzed.Results The stone free rate was 93.1% in laparoscopic group and 94.9% in open gr... |
| Keywords: | Laparoscopy Choledochoscopy Bile duct exploration Bile duct stone |
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