【摘要】 目的探讨腹腔镜胆囊切除术(LC)与内镜十二指肠乳头括约肌切开术(EST)联合应用治疗胆囊结石继发性胆总管结石的疗效。方法总结3 5例术前经B超或MRCP检查证实为胆囊结石合并继发性胆总管结石患者临床资料。胆总管结石1~3枚,大小为0.6~1.0 cm。2 8例先行LC,1周后行ERCP并作EST治疗;7例先行B超、ERCP检查及EST治疗,1周后行LC。结果全组3 5例均获得成功,无中转开腹及严重并发症。结论LC与EST联合应用治疗胆囊结石继发性胆总管结石,尤其是对胆总管结石直径≤1.0 cm,有较好的疗效,具有创伤小、效果好、并发症少、恢复快的优点。更多还原

【Abstract】 Objective To study the therapeutic effects of combined use of laparoscopic cholecystetomy and endoscopic sphincterotomy for cholecystolithiasis with secondary choledocholithiasis.Methods Thirty-five patients were diagnosed as cholecystolithiasis with secondary choledocholithiasis by B-ultrasonography and magnetic resonance cholangiopancreatography.Of them,in 28 cases,laparoscopic cholecystetomy was performed first,and ERCP and endoscopic sphincterotomy were done one week later;in 7 cases,endoscopic sphincterotomy were performed before laparoscopic cholecystectomy.Results The outcome of all the thirty-five cases was satisfactory without severe complications or conversion into open procedure.Conclusions The method of combined laparoscopic cholecystomy and endoscopic sphincterotomy,for cholecystolithiasis with secondy choledocholithiasis,especially for cases in whom the diameter of the common bile duct stone is ≤1cm,can give good therapeutic results and has advantages of minimal invasiveness,few complications and quick recovery.更多还原