【摘要】 [目的]评价腹腔镜联合胆道镜胆管结石切开取石术的临床应用价值。[方法]回顾性分析77例胆囊结石合并胆总管结石的治疗方法和结果,23例行腹腔镜联合胆道镜胆管结石切开取石术,54例行开腹胆囊切除、胆总管切开取石、T管引流术。[结果]腹腔镜联合胆道镜胆管切开取石术组的术后胃肠功能恢复时间、住院时间及术后并发症发生率均少于对照组,手术时间长于对照组,住院费用差异无统计学意义。[结论]腹腔镜联合胆道镜胆管结石切开取石术是一种安全、有效、可行的微创治疗方法。更多还原

【Abstract】 [Objective] To study the advantages in treatment of calculus of bile duct by LCBDE. [Methods] 77 cases of cholecystolithiasis combined with calculus of common bile duct, who underwent surgical therapy were retrospectively reviewed, 23 patients were treated by LCBDE, 54 patients were treated by OC+OCHTD. [Results] After laparoscopy combined with choledocholithotomy with choledochoscope operation, recovery time of gastrointestinal function, in-hospital time, complications incidence were less, operation time was longer, and cost of hospitalization was not different comparing with controls. [Conclusion] Laparoscopy combined with choledocholithotomy with choledochoscope operation is a safe, effective, feasible mini-invasive therapies.更多还原