Comparison of Two Laparoscopic Treatments for Cholecystolithiasis Complicated with Secondary Common Bile Duct Stones_West China Medical Journal

Authors：

PENG Ke ¹ , CHEN Yongbing ²

1.the Department of Surgery, PetroChina Southwest Oil and Gasfield General Hospital, Chengdu 610213; 2.the Department of Hepatobiliary Surgery, Beijing Military Region General Hospital, Beijing 100700, China;

Corresponding?author：

Keywords：

腹腔鏡; 膽囊結石; 膽管結石

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目的:比較腹腔鏡膽囊切除術(LC)+腹腔鏡膽總管探查術(LCDE)和括約肌切開取石術(EST)+LC兩種方法處理膽囊結石合并膽管結石的優缺點,探索膽囊結石合并膽管結石的最佳處理方法。方法:回顧行分析我院2007年9月至2009年6月采用微創處理27例膽囊結石合并膽管結石病例,其中LC+LCDE 15例,EST+LC 12例。比較其手術時間、圍手術期并發癥、住院時間及術后結石復發及發生膽管炎等。結果:27例手術均獲成功,結石全部取凈,無中轉開腹。LC+EST組手術時間短,術后恢復快,但住院時間長,圍手術期并發癥多。術后隨訪3月,兩組均無結石復發及發生膽管炎等。結論:微創方法治療膽囊結石合并膽管結石具有創傷小、效果好、恢復快等優點,對于具體病例應根據膽管擴張情況、結石多少及位置以及十二指腸乳頭功能決定具體的微創方式。

Citation： PENG Ke,CHEN Yongbing. Comparison of Two Laparoscopic Treatments for Cholecystolithiasis Complicated with Secondary Common Bile Duct Stones. West China Medical Journal, 2009, 24(8): 2101-2102. doi: Copy

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West China Medical Journal

Comparison of Two Laparoscopic Treatments for Cholecystolithiasis Complicated with Secondary Common Bile Duct Stones

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