【摘要】 目的采用前瞻性研究分析应用腹腔镜联合胆道镜治疗胆总管结石合并胆囊结石的可行性。方法随机、单盲将103例胆总管结石合并胆囊结石患者分为研究组53例(A组)行腹腔镜联合胆道镜探查取石术,对照组50例(B组)行常规开腹术,对比两组病人术中、术后各项临床指标。结果 A组与B组相比,术后无严重并发症发生,术后肠功能恢复快,疼痛轻,住院时间明显缩短。结论腹腔镜下联合胆道镜探查取石术治疗胆总管结石具有安全、微创、有效的特点。更多还原

【Abstract】 Objective To prospectively analyze the feasibility of the treatment of common bile duct stones with gallbladder stones by laparoscope with choledochoscope.Methods A randomized,single-blind,and controlled design was adopted.103 cases who had been diagnosed with common bile duct stones and gallbladder stones were randomly divided into Group A,which were treated with laparoscope and choledochoscope(n=53 cases),and Group B,which were treated with conventional open surgery(n=50 cases).The intraoperative and postoperative clinical parameters of two groups were compared.Results Compared to Group B,Group A featured no serious complication,quick recovery of bowel function after operation,light pain,and less hospital stay.Conclusion Laparoscope combined with choledochoscope has the characteristics of security,minimal invasion and effectiveness.更多还原