eyeMAX膽胰成像系統在肝膽管結石中的應用體會_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

劉振華 ^1,2 , 李月宏 ¹ , 劉培萬 ¹ , 黎昭君 ¹ , 彭雄兵 ¹ ,  方興保 ¹

1. ;
2. ;

Corresponding?author：

方興保, Email: fangxingbao@kmmu.edu.cn

Keywords：

內鏡逆行胰膽管造影; eyeMAX膽胰成像系統; 肝膽管結石; 治療

DOI：

10.7507/1007-9424.202310088

Video：

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目的評價eyeMAX膽胰成像系統在肝膽管結石治療中應用的安全性及效果。方法回顧性分析2021年12月至2022年12月期間曲靖市第一人民醫院肝膽胰外科利用eyeMAX膽胰成像系統治療的18例肝膽管結石患者的臨床資料，評估其技術成功率和臨床成功率以及并發癥發生率。結果 18例肝膽管結石直徑為0.8～1.8 cm、平均1.6 cm。采用eyeMAX膽胰成像系統治療均實現技術成功，結石取凈率為100%（18/18），手術時間為（50±10）min；術后有2例出現急性輕癥胰腺炎及1例出現急性膽管炎，無膽道和胃腸穿孔、無出血等并發癥，總體并發癥發生率為16.7%（3/18）。結論本組有限病例結果提示，eyeMAX膽胰成像系統為肝膽管結石的治療提供了新的手段，尤其對肝內膽管結石、膽管狹窄等復雜性肝膽管結石的治療具有一定的優勢。

Citation： 劉振華, 李月宏, 劉培萬, 黎昭君, 彭雄兵, 方興保. eyeMAX膽胰成像系統在肝膽管結石中的應用體會. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(6): 748-750. doi: 10.7507/1007-9424.202310088 Copy

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2.	張濤, 郭詩翔, 商陽陽, 等. 微創外科技術在肝外膽管結石治療中應用進展. 中國實用外科雜志, 2021, 41(4): 459-462, 468.
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8.	忻暢, 陳明良, 蔣存兵, 等. 腹腔鏡膽總管探查一期縫合與內窺鏡治療復發性膽總管結石的療效對比. 現代實用醫學, 2023, 35(5): 594-596.
9.	王毅蘭. SpyGlass在膽胰疾病診治中的研究進展. 河北醫科大學學報, 2023, 44(2): 241-245.
10.	Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc, 2016, 84(4): 649-655.
11.	Ogura T, Imanishi M, Kurisu Y, et al. Prospective evaluation of digital single-operator cholangioscope for diagnostic and therapeutic procedures (with videos). Dig Endosc, 2017, 29(7): 782-789.
12.	郭明浩, 王清蹤, 史鑫, 等. ERCP聯合eyemax對膽管癌的診斷價值. 中國普通外科雜志, 2023, 32(8): 1277-1281.
13.	Gerges C, Beyna T, Tang RSY, et al. Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures: a prospective, randomized, multicenter trial (with video). Gastrointest Endosc, 2020, 91(5): 1105-1113.
14.	Brewer Gutierrez OI, Raijman I, Shah RJ, et al. Safety and efficacy of digital single-operator pancreatoscopy for obstructing pancreatic ductal stones. Endosc Int Open, 2019, 7(7): E896-E903. doi: 10.1055/a-0889-7743.

1. Fujita N, Yasuda I, Endo I, et al. Evidence-based clinical practice guidelines for cholelithiasis 2021. J Gastroenterol, 2023, 58(9): 801-833.
2. 張濤, 郭詩翔, 商陽陽, 等. 微創外科技術在肝外膽管結石治療中應用進展. 中國實用外科雜志, 2021, 41(4): 459-462, 468.
3. 黃熙龍, 費書珂. 肝膽管結石病的微創治療進展. 中華臨床醫師雜志(電子版), 2020, 14(9): 725-729.
4. 汪艷燕, 徐順福. 經口單人膽道鏡的發展及應用進展. 現代消化及介入診療, 2023, 28(4): 509-514.
5. 陳蓁臻, 鄧鋒, 田仲川. 腹腔鏡聯合膽道鏡微創治療肝內外膽管結石的效果觀察. 中國醫療器械信息, 2023, 29(3): 106-108.
6. 趙義軍, 耿小平. 復雜肝內膽管結石的治療. 肝膽外科雜志, 2018, 26(1): 71-73.
7. Yodice M, Choma J, Tadros M. The expansion of cholangioscopy: established and investigational uses of Spyglass in biliary and pancreatic disorders. Diagnostics (Basel), 2020, 10(3): 132. doi: 10.3390/diagnostics10030132.
8. 忻暢, 陳明良, 蔣存兵, 等. 腹腔鏡膽總管探查一期縫合與內窺鏡治療復發性膽總管結石的療效對比. 現代實用醫學, 2023, 35(5): 594-596.
9. 王毅蘭. SpyGlass在膽胰疾病診治中的研究進展. 河北醫科大學學報, 2023, 44(2): 241-245.
10. Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc, 2016, 84(4): 649-655.
11. Ogura T, Imanishi M, Kurisu Y, et al. Prospective evaluation of digital single-operator cholangioscope for diagnostic and therapeutic procedures (with videos). Dig Endosc, 2017, 29(7): 782-789.
12. 郭明浩, 王清蹤, 史鑫, 等. ERCP聯合eyemax對膽管癌的診斷價值. 中國普通外科雜志, 2023, 32(8): 1277-1281.
13. Gerges C, Beyna T, Tang RSY, et al. Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures: a prospective, randomized, multicenter trial (with video). Gastrointest Endosc, 2020, 91(5): 1105-1113.
14. Brewer Gutierrez OI, Raijman I, Shah RJ, et al. Safety and efficacy of digital single-operator pancreatoscopy for obstructing pancreatic ductal stones. Endosc Int Open, 2019, 7(7): E896-E903. doi: 10.1055/a-0889-7743.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

eyeMAX膽胰成像系統在肝膽管結石中的應用體會

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