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胆总管探查术式的选择和决策(附91例报告)

Surgical strategy of common bile duct exploration:a report of 91 cases

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【作者】 王源荣朱月清夏存林吴崇华

【Author】 WANG Yuan-rong,ZHU Yue-qing,XIA Cun-lin,et al.Dept.of General Surgery,the People’s Hospital of Dafeng City,Dafeng 224100,China

【机构】 大丰市人民医院

【摘要】 目的:探讨胆总管结石的术式和决策。方法:回顾分析2004年7月至2007年6月我院应用腹腔镜、纤维胆道镜、十二指肠镜微创治疗胆总管结石91例患者的临床资料。结果:91例均痊愈,无严重并发症发生,住院时间短。结论:严格掌握十二指肠镜、腹腔镜、胆道镜的适应证、禁忌证,三镜联合治疗胆囊结石并胆总管结石是一种创伤小、有效、安全且可靠的治疗模式。

【Abstract】 Objective:To investigate the surgical strategy of common bile duct exploration for choledocholithiasis.Methods:The clinical data of 91 cases with choledocholithiasis underwent laparoscopy,choledochoscopy or duodenoscopy were analyzed retrospectively.Results:All cases were cured with shorter hospitalization and without serious complications.Conclusions:Combination of duodenoscopy,laparoscopy and choledochoscopy is an effective and safe treatment with less trauma for cholecystolithiasis with choledocholithiasis,when indications and contraindications were controlled strictly.

  • 【文献出处】 腹腔镜外科杂志 ,Journal of Laparoscopic Surgery , 编辑部邮箱 ,2009年04期
  • 【分类号】R657.42
  • 【被引频次】5
  • 【下载频次】41
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