Comparison of Two Laparoscopic Treatments for Cholecystolithiasis Complicated with Secondary Common Bile Duct Stones_West China Medical Journal

Authors：

PENG Ke ¹ , CHEN Yongbing ²

1.the Department of Surgery, PetroChina Southwest Oil and Gasfield General Hospital, Chengdu 610213; 2.the Department of Hepatobiliary Surgery, Beijing Military Region General Hospital, Beijing 100700, China;

Corresponding author：

Keywords：

腹腔镜; 胆囊结石; 胆管结石

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目的:比较腹腔镜胆囊切除术(LC)+腹腔镜胆总管探查术(LCDE)和括约肌切开取石术(EST)+LC两种方法处理胆囊结石合并胆管结石的优缺点,探索胆囊结石合并胆管结石的最佳处理方法。方法:回顾行分析我院2007年9月至2009年6月采用微创处理27例胆囊结石合并胆管结石病例,其中LC+LCDE 15例,EST+LC 12例。比较其手术时间、围手术期并发症、住院时间及术后结石复发及发生胆管炎等。结果:27例手术均获成功,结石全部取净,无中转开腹。LC+EST组手术时间短,术后恢复快,但住院时间长,围手术期并发症多。术后随访3月,两组均无结石复发及发生胆管炎等。结论:微创方法治疗胆囊结石合并胆管结石具有创伤小、效果好、恢复快等优点,对于具体病例应根据胆管扩张情况、结石多少及位置以及十二指肠乳头功能决定具体的微创方式。

Citation： PENG Ke,CHEN Yongbing. Comparison of Two Laparoscopic Treatments for Cholecystolithiasis Complicated with Secondary Common Bile Duct Stones. West China Medical Journal, 2009, 24(8): 2101-2102. doi: Copy

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West China Medical Journal

Comparison of Two Laparoscopic Treatments for Cholecystolithiasis Complicated with Secondary Common Bile Duct Stones

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