摘要
目的比较腹腔镜胆囊切除术(LC)联合术中内镜括约肌切开术(intraoperativeendoscopic sphincterotomy,IOEST)技术(LC-IOEST)与 LC 联合腹腔镜胆总管探查(laparoscopic commonbile duct exploration,LCBDE)技术(LC-LCBDE)治疗胆囊结石合并肝外胆管结石疾病的临床疗效,探讨该疾病的最佳微创治疗方案。方法将术前经 B 超或 MRCP 确诊和术中胆道造影确诊的胆囊结石合并肝外胆管结石患者275例,随机分为 LC-IOEST(129例)和 LC-LCBDE(146例)两组,比较两组联合技术的手术时间、手术成功率、结石残留率、术后近期并发症、术后住院时间、医疗费用。结果两组联合技术的手术时间、手术成功率、结石残留率、术后近期并发症、术后住院时间、医疗费用相比,均无显著性差异。结论 LC-IOEST 和 LC-LCBDE 两组联合技术是治疗胆囊结石合并肝外胆管结石的微创手段,后者还可能避免 EST 的一些远期并发症。
Objective To explore the best mini-invasive treatment for cholelithiais and calculus of common bile duct. Methods 275 patients diagnosed as with cholelithiasis and choledocholithiasis were divided randomly into 2 groups： laparoscopic cholecystectomy（LC） combined with intraoperative endoscopic sphincterotomy（IOEST） and laparoscopic exploration of the common bile duct（LCBDE） LC- LCBDE group, n = 146）, and LC combined with intraoperative endoscopic sphincterotomy （IOEST） （LC-IOEST group, n = 129）. The surgical time, surgical successful rate, stone number, complication rate, residual common bile duct stone rate, postoperative hospital stay, and hospitalization cost were compared. Results No difference was found between these two groups in terms of the surgical time, surgical successful rate, the stone number, complication rate, residual common bile duct stone rate, postoperative hospital stay, and hospitalization cost. Conclusion LC-IOEST and LC-LCBDE are both effective minimally invasive treatments for cholelithiais and calculus, of common bile duct.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2007年第38期2703-2705,共3页
National Medical Journal of China
关键词
胆囊切除术
腹腔镜
内窥镜逆行
Cholecystectomy, Laparoscopy
Endoscopic retrograde
