J4 ›› 2013, Vol. 12 ›› Issue (12): 31-32.

• 临床医学 • 上一篇    下一篇

EST联合治疗胆囊结石合并继发性胆管结石

  

  1. 大理学院大理教学医院,云南大理 671000
  • 收稿日期:2013-08-30 出版日期:2013-12-15 发布日期:2013-12-15
  • 作者简介:肖瑾,主治医师,主要从事肝胆外科研究.

EST Combined with LC in Treating Cholecystolithiasis with Secondary Choledocholithiasis

  1. 阅ali Teaching Hospital of Dali University, Dali, Yunnan 671000, China
  • Received:2013-08-30 Online:2013-12-15 Published:2013-12-15

摘要:

目的:探讨内镜下Oddi括约肌切开取石术(endoscopic sphincterotomy,EST)联合腹腔镜胆囊切除术(lapanroscopic
cholecystectomy,LC)治疗胆囊结石合并继发性胆管结石的疗效。方法:对21例胆囊结石合并继发性胆管结石患者先行EST术,再行LC术。结果:21例均完成EST和LC术,其中1例患者LC术后经胆道造影见胆总管结石残留,再次行EST术。结论:EST联合LC治疗胆囊结石合并继发性胆管结石是一种安全有效的微创治疗模式。

关键词: 胆囊结石, 继发性胆管结石, EST, LC

Abstract:

Objective: To investigate the efficacy of endoscopic sphincterotomy(EST)combined with lapanroscopic cholecystectomy (LC)in treating cholecystolithiasis with secondary biliary calculi. Methods: EST was performed first in 21 cases of cholecystolithiasis with secondary choledocholithiasis patients, then LC operation. Results: All 21 cases completed EST and LC operation; one of them who had made LC operation was found residual bile duct stones in cholangiography, and then was carried out EST operation.Conclusion: EST combined with LC in treating cholecystolithiasis with secondary biliary calculi is a safe and effective minimally invasive treatment mode.

Key words: Gallstone, secondary biliary calculi, EST, LC

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