【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。更多还原

【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.更多还原