摘要
目的探讨腹腔镜胆总管探查取石联合腹腔镜胆囊切除术(LC术)与内镜ERCP/EST联合LC术治疗胆总管结石合并胆囊结石的疗效。方法以2015年6月~2017年12月本院52例胆总管结石合并胆囊结石患者为研究对象,依据治疗方法不同将入选病例分为实验组(腹腔镜胆总管探查取石联合LC术,26例)和对照组(内镜ERCP/EST联合LC术,26例),对比观察两组基本治疗指标,评价疗效,统计并发症。结果两组手术成功率比较差异无统计学意义。实验组手术时间(108.4±15.7)min,腹腔引流时间(2.7±0.4)d,术后住院时间(4.1±0.6)d,并发症发生率(3.85%)与对照组比较差异有统计学意义(P<0.05)。结论腹腔镜胆总管探查取石联合LC术与内镜ERCP/EST联合LC术治疗胆总管结石合并胆囊结石疗效相当,但前者手术时间短,术后并发症少,患者恢复快,更益于早期康复。
Objective To evaluate the efficacy of laparoscopic choledocholithotomy combined with laparoscopic cholecystectomy(LC)and endoscopic ERCP/EST combined LC in the treatment of choledocholithiasis with cholecystolithiasis.Methods From June 2015 to December 2017,52 cases of choledocholithiasis complicated with cholecystolithiasis in our hospital were studied.According to the different treatment methods,the patients were divided into experimental group(26 cases of laparoscopic choledocholithiasis combined with LC)and control group(26 cases of endoscopic ERCP/EST combined with LC).Results There was no significant difference in success rate between the two groups.The operative time was(108.4±15.7)minutes,the abdominal drainage time was(2.7±0.4)days,the postoperative hospitalization time was(4.1±0.6)days,and the incidence of complications was 3.85%,there was significant difference between the experimental group and the control group(P<0.05).Conclusion Laparoscopic choledocholithotomy combined with LC is effective in the treatment of choledocholithiasis with cholecystolithiasis.
作者
王财庆
庄端明
陈功
Wang Caiqing;Zhuang Duanming;Chen Gong(General Surgery of Gaochun People's Hospital,Nanjing,Jiangsu,211300,China;The People's Hospital of Nanjing Gaochun Digestive Internal Medicine,Nanjing,Jiangsu,211300,China)
出处
《当代医学》
2018年第22期85-87,共3页
Contemporary Medicine
关键词
胆总管结石
RECP取石术
疗效
安全性
Choledocholithiasis
RECP lithotomy for choledocholithiasis
Efficacy
Safety
