Objective To study the clinical effects of laparoscope combined with choledochoscope in patients with cholecystolithiasis and choledocholithiasis.
Methods Clinical data of 74 patients with cholecystolithiasis and choledocholithiasis between Mar. 2009 and Feb. 2011 in our hospital were retrospectively analyzed. Among them, 37 cases underwent the laparoscope combined with choledochoscope operation (referred to as the double mirror operation group) and 37 cases underwent the conventional open operation (open operation group). The intraoperative conditions, therapeutic effect, and complications of patients in 2 groups were compared.
Results The stone clearance rates of the two groups were 100%. The recurrence rate of 2 groups in the follow-up process was no significantly difference (P>0.05). In the double mirror operation group, the operative time was significantly longer than that open operation group (P<0.01);the intraoperative bleeding was significantly less than that open operation group (P<0.01);the anal exhaust time after operation, get out of bed time after operation, and total duration of hospitalization were significantly shorter than that open operation group (P<0.01);and the incidence of postoperative complications was significantly lower than that open oper-ation group(P<0.01).
Conclusion Laparoscope combined with choledochoscope in treatment of cholecystolithiasis and choledocholithiasis patients has exact effects, with minor trauma, quicker recovery, and fewer complications, and it’s worthy of promotion.
Citation:
ZHAO Dongyu,CHENG Liya,SHEN Hong,ZHANG Ning,.. Clinical Study of Laparoscope Combined with Choledochoscope in Treatment of Patients with Cholecystolithiasis and Choledocholithiasis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(7): 793-796. doi:
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李其焕, 王群伟. 腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石172例临床分析[J]. 中国现代手术学杂志, 2010, 14(2): 99-101.
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牛军, 牛卫博, 张朝阳, 等. 腹腔镜胆总管切开取石T管引流术: 15年经验回顾与展望[J]. 中国现代普通外科进展, 2007, 10(2): 108-111.
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张庄文, 付星, 李元健. 腹腔镜手术与开腹手术行胆总管切开取石的对比研究[J]. 中国普通外科杂志, 2008, 17(2): 116-119.
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曾宗焱, 唐同继. 腹腔镜联合胆道镜在胆囊结石合并胆总管结石治疗中的应用[J]. 腹部外科, 2010, 23(2):121.
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潘钢, 侯亚峰, 章安庆. 腹腔镜胆道镜联合治疗胆囊结石合并胆总管结石29例临床分析[J]. 皖南医学院学报, 2007, 26(4): 280-282.
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巴明臣, 崔书中, 陈积圣. 我国胆道外科的现状与发展思路[J]. 中国微创外科杂志, 2007, 7(4):329-330.
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黄昌州, 胡海, 赵中辛. 腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石[J]. 中国普通外科杂志, 2008, 17(2): 114-116.
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曹新岭, 张金辉. 腹腔镜内镜联合治疗肝内外胆管结石现状[J]. 肝胆外科杂志, 2009, 17 (3):236-237.
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吴定泉, 杨明芳. 胆囊结石合并胆总管结石的腹腔镜术式选择[J]. 腹腔镜外科杂志, 2012, 17(4):280-281.
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10. |
申海军, 陈广瑜. 三种手术方法治疗胆囊结石并胆总管结石的临床疗效分析[J]. 肝胆胰外科杂志, 2012, 24(1): 33-35.
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11. |
黄迪宇, 蔡秀军, 忻莹, 等. 腹腔镜时代胆总管结石的治疗选择[J]. 中华普通外科杂志, 2007, 22(9):691-693.
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王存川, 任宁. 腹腔镜胆道外科的进展[J]. 腹腔镜外科杂志, 2011, 16(7): 481-483.
|
13. |
薛忠海, 秦明放. 胆囊结石合并肝外胆管结石微创治疗的现状[J]. 中原医刊, 2007, 34(11): 54-55.
|
14. |
林西青, 王卫星, 陈辰, 等. 腹腔镜不同方式治疗胆囊结石合并胆总管结石的临床分析[J]. 临床外科杂志, 2007, 15(5): 326-327.
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15. |
周宗庆, 傅志红, 张衍祥. 腹腔镜联合纤维胆道镜经胆囊管治疗胆囊结石合并胆总管结石[J]. 肝胆胰外科杂志, 2010, 22(6): 506-507.
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黄峻松, 叶大文, 李博, 等. 腹腔镜内镜联合治疗肝内外胆管结石现状[J]. 蚌埠医学院学报, 2013, 38(1): 54-55.
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李国锋, 吕亚静, 林海龙, 等. 腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石疗效分析[J]. 海南医学院学报, 2012, 18(1): 66-68.
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傅侃达, 秦长江, 任学群. 腹腔镜联合纤维胆道镜治疗胆囊胆总管结石[J]. 中国普通外科杂志, 2010, 19(2): 128-131.
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宁纯民, 张丽华. 腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石的临床评价[J]. 中国现代药物应用, 2011, 5(5):1-3.
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李霖, 梁驰. 三镜联合治疗胆总管结石36例的临床体会[J]. 广西医学, 2007, 29(5): 1782-1783.
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21. |
江文枢, 卢榜裕, 蔡小勇, 等. 腹腔镜与开腹手术治疗胆道结石的对比研究[J]. 微创医学, 2008, 3(4): 305-307.
|
22. |
陈建立, 常艳, 王健, 等. 腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床研究[J]. 现代预防医学, 2009, 36(17): 3388-3390.
|
23. |
舒柏荣, 赵红炜, 陆显斌. 腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石8例报告[J]. 中国微创外科杂志, 2006, 6(12): 992-993.
|
24. |
石毅, 孙跃明, 赵翰林, 等. 51例腹腔镜联合胆道镜胆总管切开取石术的临床应用[J]. 肝胆胰外科杂志, 2008, 20(2): 104-106.
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25. |
萧金丰, 贺轲, 向国安, 等. 腹腔镜联合胆道镜治疗胆总管结石合并胆囊结石的前瞻性临床研究[J]. 微创医学, 2011, 6(2): 99-101.
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- 1. 李其焕, 王群伟. 腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石172例临床分析[J]. 中国现代手术学杂志, 2010, 14(2): 99-101.
- 2. 牛军, 牛卫博, 张朝阳, 等. 腹腔镜胆总管切开取石T管引流术: 15年经验回顾与展望[J]. 中国现代普通外科进展, 2007, 10(2): 108-111.
- 3. 张庄文, 付星, 李元健. 腹腔镜手术与开腹手术行胆总管切开取石的对比研究[J]. 中国普通外科杂志, 2008, 17(2): 116-119.
- 4. 曾宗焱, 唐同继. 腹腔镜联合胆道镜在胆囊结石合并胆总管结石治疗中的应用[J]. 腹部外科, 2010, 23(2):121.
- 5. 潘钢, 侯亚峰, 章安庆. 腹腔镜胆道镜联合治疗胆囊结石合并胆总管结石29例临床分析[J]. 皖南医学院学报, 2007, 26(4): 280-282.
- 6. 巴明臣, 崔书中, 陈积圣. 我国胆道外科的现状与发展思路[J]. 中国微创外科杂志, 2007, 7(4):329-330.
- 7. 黄昌州, 胡海, 赵中辛. 腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石[J]. 中国普通外科杂志, 2008, 17(2): 114-116.
- 8. 曹新岭, 张金辉. 腹腔镜内镜联合治疗肝内外胆管结石现状[J]. 肝胆外科杂志, 2009, 17 (3):236-237.
- 9. 吴定泉, 杨明芳. 胆囊结石合并胆总管结石的腹腔镜术式选择[J]. 腹腔镜外科杂志, 2012, 17(4):280-281.
- 10. 申海军, 陈广瑜. 三种手术方法治疗胆囊结石并胆总管结石的临床疗效分析[J]. 肝胆胰外科杂志, 2012, 24(1): 33-35.
- 11. 黄迪宇, 蔡秀军, 忻莹, 等. 腹腔镜时代胆总管结石的治疗选择[J]. 中华普通外科杂志, 2007, 22(9):691-693.
- 12. 王存川, 任宁. 腹腔镜胆道外科的进展[J]. 腹腔镜外科杂志, 2011, 16(7): 481-483.
- 13. 薛忠海, 秦明放. 胆囊结石合并肝外胆管结石微创治疗的现状[J]. 中原医刊, 2007, 34(11): 54-55.
- 14. 林西青, 王卫星, 陈辰, 等. 腹腔镜不同方式治疗胆囊结石合并胆总管结石的临床分析[J]. 临床外科杂志, 2007, 15(5): 326-327.
- 15. 周宗庆, 傅志红, 张衍祥. 腹腔镜联合纤维胆道镜经胆囊管治疗胆囊结石合并胆总管结石[J]. 肝胆胰外科杂志, 2010, 22(6): 506-507.
- 16. 黄峻松, 叶大文, 李博, 等. 腹腔镜内镜联合治疗肝内外胆管结石现状[J]. 蚌埠医学院学报, 2013, 38(1): 54-55.
- 17. 李国锋, 吕亚静, 林海龙, 等. 腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石疗效分析[J]. 海南医学院学报, 2012, 18(1): 66-68.
- 18. 傅侃达, 秦长江, 任学群. 腹腔镜联合纤维胆道镜治疗胆囊胆总管结石[J]. 中国普通外科杂志, 2010, 19(2): 128-131.
- 19. 宁纯民, 张丽华. 腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石的临床评价[J]. 中国现代药物应用, 2011, 5(5):1-3.
- 20. 李霖, 梁驰. 三镜联合治疗胆总管结石36例的临床体会[J]. 广西医学, 2007, 29(5): 1782-1783.
- 21. 江文枢, 卢榜裕, 蔡小勇, 等. 腹腔镜与开腹手术治疗胆道结石的对比研究[J]. 微创医学, 2008, 3(4): 305-307.
- 22. 陈建立, 常艳, 王健, 等. 腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床研究[J]. 现代预防医学, 2009, 36(17): 3388-3390.
- 23. 舒柏荣, 赵红炜, 陆显斌. 腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石8例报告[J]. 中国微创外科杂志, 2006, 6(12): 992-993.
- 24. 石毅, 孙跃明, 赵翰林, 等. 51例腹腔镜联合胆道镜胆总管切开取石术的临床应用[J]. 肝胆胰外科杂志, 2008, 20(2): 104-106.
- 25. 萧金丰, 贺轲, 向国安, 等. 腹腔镜联合胆道镜治疗胆总管结石合并胆囊结石的前瞻性临床研究[J]. 微创医学, 2011, 6(2): 99-101.