eyeMAX胆胰成像系统在肝胆管结石中的应用体会_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

刘振华 ^1,2 , 李月宏 ¹ , 刘培万 ¹ , 黎昭君 ¹ , 彭雄兵 ¹ ,  方兴保 ¹

1. ;
2. ;

Corresponding author：

方兴保, Email: fangxingbao@kmmu.edu.cn

Keywords：

内镜逆行胰胆管造影; eyeMAX胆胰成像系统; 肝胆管结石; 治疗

DOI：

10.7507/1007-9424.202310088

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的评价eyeMAX胆胰成像系统在肝胆管结石治疗中应用的安全性及效果。方法回顾性分析2021年12月至2022年12月期间曲靖市第一人民医院肝胆胰外科利用eyeMAX胆胰成像系统治疗的18例肝胆管结石患者的临床资料，评估其技术成功率和临床成功率以及并发症发生率。结果 18例肝胆管结石直径为0.8～1.8 cm、平均1.6 cm。采用eyeMAX胆胰成像系统治疗均实现技术成功，结石取净率为100%（18/18），手术时间为（50±10）min；术后有2例出现急性轻症胰腺炎及1例出现急性胆管炎，无胆道和胃肠穿孔、无出血等并发症，总体并发症发生率为16.7%（3/18）。结论本组有限病例结果提示，eyeMAX胆胰成像系统为肝胆管结石的治疗提供了新的手段，尤其对肝内胆管结石、胆管狭窄等复杂性肝胆管结石的治疗具有一定的优势。

Citation： 刘振华, 李月宏, 刘培万, 黎昭君, 彭雄兵, 方兴保. eyeMAX胆胰成像系统在肝胆管结石中的应用体会. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(6): 748-750. doi: 10.7507/1007-9424.202310088 Copy

1.	Fujita N, Yasuda I, Endo I, et al. Evidence-based clinical practice guidelines for cholelithiasis 2021. J Gastroenterol, 2023, 58(9): 801-833.
2.	张涛, 郭诗翔, 商阳阳, 等. 微创外科技术在肝外胆管结石治疗中应用进展. 中国实用外科杂志, 2021, 41(4): 459-462, 468.
3.	黄熙龙, 费书珂. 肝胆管结石病的微创治疗进展. 中华临床医师杂志(电子版), 2020, 14(9): 725-729.
4.	汪艳燕, 徐顺福. 经口单人胆道镜的发展及应用进展. 现代消化及介入诊疗, 2023, 28(4): 509-514.
5.	陈蓁臻, 邓锋, 田仲川. 腹腔镜联合胆道镜微创治疗肝内外胆管结石的效果观察. 中国医疗器械信息, 2023, 29(3): 106-108.
6.	赵义军, 耿小平. 复杂肝内胆管结石的治疗. 肝胆外科杂志, 2018, 26(1): 71-73.
7.	Yodice M, Choma J, Tadros M. The expansion of cholangioscopy: established and investigational uses of Spyglass in biliary and pancreatic disorders. Diagnostics (Basel), 2020, 10(3): 132. doi: 10.3390/diagnostics10030132.
8.	忻畅, 陈明良, 蒋存兵, 等. 腹腔镜胆总管探查一期缝合与内窥镜治疗复发性胆总管结石的疗效对比. 现代实用医学, 2023, 35(5): 594-596.
9.	王毅兰. SpyGlass在胆胰疾病诊治中的研究进展. 河北医科大学学报, 2023, 44(2): 241-245.
10.	Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc, 2016, 84(4): 649-655.
11.	Ogura T, Imanishi M, Kurisu Y, et al. Prospective evaluation of digital single-operator cholangioscope for diagnostic and therapeutic procedures (with videos). Dig Endosc, 2017, 29(7): 782-789.
12.	郭明浩, 王清踪, 史鑫, 等. ERCP联合eyemax对胆管癌的诊断价值. 中国普通外科杂志, 2023, 32(8): 1277-1281.
13.	Gerges C, Beyna T, Tang RSY, et al. Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures: a prospective, randomized, multicenter trial (with video). Gastrointest Endosc, 2020, 91(5): 1105-1113.
14.	Brewer Gutierrez OI, Raijman I, Shah RJ, et al. Safety and efficacy of digital single-operator pancreatoscopy for obstructing pancreatic ductal stones. Endosc Int Open, 2019, 7(7): E896-E903. doi: 10.1055/a-0889-7743.

1. Fujita N, Yasuda I, Endo I, et al. Evidence-based clinical practice guidelines for cholelithiasis 2021. J Gastroenterol, 2023, 58(9): 801-833.
2. 张涛, 郭诗翔, 商阳阳, 等. 微创外科技术在肝外胆管结石治疗中应用进展. 中国实用外科杂志, 2021, 41(4): 459-462, 468.
3. 黄熙龙, 费书珂. 肝胆管结石病的微创治疗进展. 中华临床医师杂志(电子版), 2020, 14(9): 725-729.
4. 汪艳燕, 徐顺福. 经口单人胆道镜的发展及应用进展. 现代消化及介入诊疗, 2023, 28(4): 509-514.
5. 陈蓁臻, 邓锋, 田仲川. 腹腔镜联合胆道镜微创治疗肝内外胆管结石的效果观察. 中国医疗器械信息, 2023, 29(3): 106-108.
6. 赵义军, 耿小平. 复杂肝内胆管结石的治疗. 肝胆外科杂志, 2018, 26(1): 71-73.
7. Yodice M, Choma J, Tadros M. The expansion of cholangioscopy: established and investigational uses of Spyglass in biliary and pancreatic disorders. Diagnostics (Basel), 2020, 10(3): 132. doi: 10.3390/diagnostics10030132.
8. 忻畅, 陈明良, 蒋存兵, 等. 腹腔镜胆总管探查一期缝合与内窥镜治疗复发性胆总管结石的疗效对比. 现代实用医学, 2023, 35(5): 594-596.
9. 王毅兰. SpyGlass在胆胰疾病诊治中的研究进展. 河北医科大学学报, 2023, 44(2): 241-245.
10. Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc, 2016, 84(4): 649-655.
11. Ogura T, Imanishi M, Kurisu Y, et al. Prospective evaluation of digital single-operator cholangioscope for diagnostic and therapeutic procedures (with videos). Dig Endosc, 2017, 29(7): 782-789.
12. 郭明浩, 王清踪, 史鑫, 等. ERCP联合eyemax对胆管癌的诊断价值. 中国普通外科杂志, 2023, 32(8): 1277-1281.
13. Gerges C, Beyna T, Tang RSY, et al. Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures: a prospective, randomized, multicenter trial (with video). Gastrointest Endosc, 2020, 91(5): 1105-1113.
14. Brewer Gutierrez OI, Raijman I, Shah RJ, et al. Safety and efficacy of digital single-operator pancreatoscopy for obstructing pancreatic ductal stones. Endosc Int Open, 2019, 7(7): E896-E903. doi: 10.1055/a-0889-7743.

Previous Article
胃滤泡树突状细胞肉瘤：2例报道并文献复习
Next Article
原发性甲状旁腺功能亢进合并甲状腺高功能腺瘤1例

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

eyeMAX胆胰成像系统在肝胆管结石中的应用体会

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content