Clinical Study for Patients with Cholecystolithiasis and Extrahepatic Bile Duct Stones by Laparoscopic Treatment_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 楊孫虎 ^1,2 , 侯軍麗 ¹ , 阿不都斯木 ¹ ,  阿合提別克 ¹ , 馬博 ¹ , 鄭建忠 ¹ , 姜亮 ¹

1. ;
2. ;

Corresponding?author：

阿合提別克, Email: ahet050@sina.com

Keywords：

肝外膽管結石; 腹腔鏡膽總管探查術; 內鏡; Oddi括約肌切開取石術

DOI：

10.7507/1007-9424.20140206

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的比較腹腔鏡膽囊切除聯合膽總管探查術（LC＋LCBDE）與內鏡下Oddi括約肌切開取石聯合腹腔鏡膽囊切除術（EST＋LC）治療膽囊結石合并肝外膽管結石的臨床療效。方法回顧性分析45例行LC＋LCBDE及60例行EST＋LC患者的臨床資料，觀察2組在單次結石清除率、中轉手術率、手術并發癥、住院時間等指標方面的效果。結果 2組患者的基線資料相近，無手術死亡病例；2組術后并發癥發生情況的差異無統計學意義（P＞0.05）；LC＋LCBDE組單次治療成功率高于EST＋LC組，而住院時間及中轉手術率則短于或低于EST＋LC組（P＜0.05）。結論 LC＋LCBDE是治療膽囊結石合并肝外膽管結石患者安全有效的方法。

Citation： 楊孫虎, 侯軍麗, 阿不都斯木, 阿合提別克, 馬博, 鄭建忠, 姜亮. Clinical Study for Patients with Cholecystolithiasis and Extrahepatic Bile Duct Stones by Laparoscopic Treatment. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(7): 872-874. doi: 10.7507/1007-9424.20140206 Copy

1.	?Savita KS, Bhartia VK. Laparoscopic CBD exploration[J]. Indian J Surg, 2010, 72(5):395-399.
2.	Costi R, Mazzeo A, Tartamella F, et al. Cholecystocholedocholithiasis:a case-control study comparing the short-and long-term outcomes for a "laparoscopy-first" attitude with the outcome for sequential treatment (systematic endoscopic sphincterotomy followed by laparoscopic cholecystectomy)[J]. Surg Endosc, 2010, 24(1):51-62.
3.	Dindo D, Demartines N, Clavien PA. Classification of surgical complications:a new proposal with evaluation in a cohort of 6336 patients and results of a survey[J]. Ann Surg, 2004, 240(2):205-213.
4.	Mouret P. How I developed laparoscopic cholecystectomy[J]. Ann Acad Med Singapore, 1996, 25(5):744-747.
5.	Stoker ME, Leveillee RJ, McCann JC Jr, et al. Laparoscopic common bile duct exploration[J]. J Laparoendosc Surg, 199l, 1(5):287-293.
6.	Sgourakis G, Karaliotas K. Laparoscopic common bile duct exploration and cholecystectomy versus endoscopic stone extraction and laparoscopic cholecystectomy for choledocholithiasis:a prospective randomized study[J]. Minerva Chir, 2002, 57(4):467-474.
7.	Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones[J]. Cochrane Database Syst Rev, 2006, 19(2):CD003327.
8.	Hong DF, Xin Y, Chen DW. Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis[J]. Surg Endosc, 2006, 20(3): 424-427.
9.	秦鳴放, 趙宏志.肝內外膽管結石的微創治療[J].腹腔鏡外科雜志, 2012, 17(3):166-168.
10.	Tzovaras G, Baloyiannis I, Zachari E, et al. Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecystocholedocholithiasis: interim analysis of a controlled randomized trial[J]. Ann Surg, 2012, 255(3):435-439.
11.	龔彪.改良內鏡下乳頭氣囊擴張術應用可行性研究[J].中國消化內鏡雜志, 2006, 23(6):407-409.
12.	董家鴻.膽道微創治療必須高度重視Oddi括約肌的保護[J].中華消化外科雜志, 2012, 11(5):405-407.
13.	Oh HC, Cheon YK, Cho YD, et al. Use of udenafil is not associated with a reduction in post-ERCP pancreatitis:results of a randomized, placebo-controlled, multicenter trial[J]. Gastrointest Endosc, 2011, 74(3):556-562.
14.	Al-Kawas FH. Long-term outcomes after endoscopic management of bile duct stones:to cut or to dilate? Pay me now or pay me later![J]. Gastrointest Endosc, 2010, 72(6):1192-1194.
15.	Rogers SJ, Cello JP, Horn JK, et al. Prospective randomized trial of LC+LCBDE vs. ERCP/S+LC for common bile duct stone disease[J]. Arch Surg, 2010, 145(1):28-33.
16.	胡三元, 張陽德.腹腔鏡經膽囊管膽總管探查取石術臨床研究(附186例報告)[J].中國內鏡雜志, 2011, 17(3):286-288.
17.	Hanif F, Ahmed Z, Samie MA, et al. Laparoscopic transcystic bile duct exploration:the treatment of first choice for common bile duct stones[J]. Surg Endosc, 2010, 24(7):1552-1556.
18.	彭穎, 王立新.膽囊結石合并膽總管結石微刨治療方法比較[J].中國微創外科雜志, 2007, 7(2):115-117.
19.	Fujita N, Maguchi H, Komatsu Y, et al. Endoscopic sphincterotomy and endoscopic papillary balloon dilatation for bile duct stones:A prospective randomized controlled multicenter trial[J]. Gastrointest Endosc, 2003, 57(2):151-155.
20.	宇洋, 孫世波, 孫鐵為.腹腔鏡聯合膽道鏡術后T管拔出膽漏的防治體會[J].中國現代手術學雜志, 2013, 17(1):18-20.

1. ?Savita KS, Bhartia VK. Laparoscopic CBD exploration[J]. Indian J Surg, 2010, 72(5):395-399.
2. Costi R, Mazzeo A, Tartamella F, et al. Cholecystocholedocholithiasis:a case-control study comparing the short-and long-term outcomes for a "laparoscopy-first" attitude with the outcome for sequential treatment (systematic endoscopic sphincterotomy followed by laparoscopic cholecystectomy)[J]. Surg Endosc, 2010, 24(1):51-62.
3. Dindo D, Demartines N, Clavien PA. Classification of surgical complications:a new proposal with evaluation in a cohort of 6336 patients and results of a survey[J]. Ann Surg, 2004, 240(2):205-213.
4. Mouret P. How I developed laparoscopic cholecystectomy[J]. Ann Acad Med Singapore, 1996, 25(5):744-747.
5. Stoker ME, Leveillee RJ, McCann JC Jr, et al. Laparoscopic common bile duct exploration[J]. J Laparoendosc Surg, 199l, 1(5):287-293.
6. Sgourakis G, Karaliotas K. Laparoscopic common bile duct exploration and cholecystectomy versus endoscopic stone extraction and laparoscopic cholecystectomy for choledocholithiasis:a prospective randomized study[J]. Minerva Chir, 2002, 57(4):467-474.
7. Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones[J]. Cochrane Database Syst Rev, 2006, 19(2):CD003327.
8. Hong DF, Xin Y, Chen DW. Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis[J]. Surg Endosc, 2006, 20(3): 424-427.
9. 秦鳴放, 趙宏志.肝內外膽管結石的微創治療[J].腹腔鏡外科雜志, 2012, 17(3):166-168.
10. Tzovaras G, Baloyiannis I, Zachari E, et al. Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecystocholedocholithiasis: interim analysis of a controlled randomized trial[J]. Ann Surg, 2012, 255(3):435-439.
11. 龔彪.改良內鏡下乳頭氣囊擴張術應用可行性研究[J].中國消化內鏡雜志, 2006, 23(6):407-409.
12. 董家鴻.膽道微創治療必須高度重視Oddi括約肌的保護[J].中華消化外科雜志, 2012, 11(5):405-407.
13. Oh HC, Cheon YK, Cho YD, et al. Use of udenafil is not associated with a reduction in post-ERCP pancreatitis:results of a randomized, placebo-controlled, multicenter trial[J]. Gastrointest Endosc, 2011, 74(3):556-562.
14. Al-Kawas FH. Long-term outcomes after endoscopic management of bile duct stones:to cut or to dilate? Pay me now or pay me later![J]. Gastrointest Endosc, 2010, 72(6):1192-1194.
15. Rogers SJ, Cello JP, Horn JK, et al. Prospective randomized trial of LC+LCBDE vs. ERCP/S+LC for common bile duct stone disease[J]. Arch Surg, 2010, 145(1):28-33.
16. 胡三元, 張陽德.腹腔鏡經膽囊管膽總管探查取石術臨床研究(附186例報告)[J].中國內鏡雜志, 2011, 17(3):286-288.
17. Hanif F, Ahmed Z, Samie MA, et al. Laparoscopic transcystic bile duct exploration:the treatment of first choice for common bile duct stones[J]. Surg Endosc, 2010, 24(7):1552-1556.
18. 彭穎, 王立新.膽囊結石合并膽總管結石微刨治療方法比較[J].中國微創外科雜志, 2007, 7(2):115-117.
19. Fujita N, Maguchi H, Komatsu Y, et al. Endoscopic sphincterotomy and endoscopic papillary balloon dilatation for bile duct stones:A prospective randomized controlled multicenter trial[J]. Gastrointest Endosc, 2003, 57(2):151-155.
20. 宇洋, 孫世波, 孫鐵為.腹腔鏡聯合膽道鏡術后T管拔出膽漏的防治體會[J].中國現代手術學雜志, 2013, 17(1):18-20.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Study for Patients with Cholecystolithiasis and Extrahepatic Bile Duct Stones by Laparoscopic Treatment

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content