摘要
目的探讨经内镜逆行性胰胆管造影术(ERCP)/经十二指肠镜Oddi括约肌切开术(EST)联合LC治疗胆囊结石合并胆总管结石的临床疗效和手术时机选择。方法选取我科2020年6月至2022年10月收治的胆囊结石合并胆总管结石的患者38例,所有患者均先行ERCP/EST取石,胆总管无结石残留,病情稳定,术后1~5天行LC,1例术后1周LC。结果ERCP/EST术后部分患者感腹胀、恶心呕吐,6例出现高淀粉酶血症,1例并发胰腺炎,LC术中中转2例,所有患者无损伤、出血、胆漏等并发症。结论ERCP/EST联合LC治疗胆囊结石合并胆总管结石具有创伤小、恢复快、瘢痕小、无需放置T管等,值得临床应用。
Objective To investigate the clinical efficacy and timing of endoscopic retrograde cholangiopancreatography(ER-CP)/transduodenoscopicOddisphincterotomy(EST)combined with LC in the treatment of cholecystolithiasis combined with choledo-cholithiasis.Methods A total of 38 patients with cholecystolithiasis combined with choledocholithiasis admitted to our department from June 2020 to October 2022 were selected.All patients underwent ERCP/EST lithotomy first,without residual choledocholithiasis,and their condition was stable.LC was performed 1~5 days after surgery,and 1 patient underwent LC 1 week after surgery.Results After ERCP/EST,some patients felt abdominal distension,nausea,vomiting,hyperamylasemia in 6 cases,pancreatitis in 1 case,and LC transfer in 2 cases,all patients had no injury,bleeding,bile leakage and other complications.Conclusion ERCP/EST com-bined LC in the treatment of cholecystolithiasis combined with choledocholithiasis has the advantages of less trauma,faster recovery,less scar,no need to place T tube,etc.,which is worthy of clinical application.
作者
王学新
聂晓辉
凌传江
郭新文
胡德军
马文颖
WANG Xue-xin;NIE Xiao-hui;LING Chuan-jiang(The Department of Emergency Surgery,The First People’s Hospital of Akesu city,Akesu 843000,China)
出处
《肝胆外科杂志》
2023年第2期113-115,共3页
Journal of Hepatobiliary Surgery
