Treatment of Cholecystoduodenal Fistula under Laparoscopes_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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索运生 , 肖宏 , 尹思能

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Keywords：

腹腔镜; 胆囊十二指肠瘘; 治疗

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目的探讨腹腔镜在胆囊十二指肠瘘(cholecystoduodenal fistula)治疗中的应用价值。方法我院1992年3月至2005年12月期间共实施27例腹腔镜治疗胆囊十二指肠瘘手术，于腹腔镜下发现内瘘并修补瘘口。结果 27例患者手术均成功，无中转开腹，平均手术时间为(90±30) min，术后平均住院5.2 d，无术后出血、十二指肠瘘等并发症，亦无死亡病例。术后随访6～48个月，无十二指肠狭窄、梗阻发生。结论腹腔镜治疗胆囊十二指肠瘘安全、可行，创伤小、疼痛轻、恢复快。术中对胆囊周围粘连仔细地分离、检查和熟练的腹腔镜技术是手术成功的关键。

Citation： 索运生,肖宏,尹思能. Treatment of Cholecystoduodenal Fistula under Laparoscopes. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(11): 847-848. doi: Copy

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8.	索运生，张明哲，尹思能, 等. 腹腔镜胆总管探查、一期缝合和T管引流后胆道压力变化的比较 [J]. 中国微创外科杂志, 2006; 6(1)∶21.
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10.	Angrisani L, Corcione F, Taitaglia A, et al. Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery[J]. Surg Endosc, 2001; 15(9)∶1038.

1. Tocchi A, Mazzoni G, Miccini M, et al. Acquired abnormalities of the biliary tract. Preoperative diagnosis and surgical risk in the laparoscopic era [Ｊ]. G Chir, 2001; 22(1-2)∶18.
2. 黄志强主编. 当代胆道外科学 [M]. 第1版. 上海：上海科学技术文献出版社， 1998∶320~321.
3. Martin I, Siriwardena A. Safe laparoscopic cholecystectomy in the presence of a cholecysto-enteric fistula [Ｊ]. Dig surg, 2000; 17(2)∶178.
4. 高鹏，徐小东，黄海云, 等. 腹腔镜治疗胆囊-十二指肠瘘6例报告 [Ｊ]. 中国微创外科杂志, 2005; 5(2)∶142.
5. Lee JH, Han HS, Min SK, et al. Laparoscopic repair of various types of biliary-enteric fistula: three cases [Ｊ].Surg Endosc, 2004; 18(2)∶349.
6. 顾书南，李清潭主编. 胆道外科学 [M]. 第1版. 兰州：甘肃科学技术出版社， 1994∶340.
7. 沈振斌，童赛雄，秦新裕, 等. 46例自发性胆囊内瘘的回顾性分析 [J]. 中华肝胆外科杂志, 2005; 11(6)∶381.
8. 索运生，张明哲，尹思能, 等. 腹腔镜胆总管探查、一期缝合和T管引流后胆道压力变化的比较 [J]. 中国微创外科杂志, 2006; 6(1)∶21.
9. Rivas H, Cacchione RN, Allen JW. Laparoscopic management of Meckel’s diverticulum in adults[J]. Surg Endosc, 2003; 17(4)∶620.
10. Angrisani L, Corcione F, Taitaglia A, et al. Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery[J]. Surg Endosc, 2001; 15(9)∶1038.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Treatment of Cholecystoduodenal Fistula under Laparoscopes

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