摘要
目的探讨十二指肠镜乳头括约肌切开术(endoscopic sphincterotomy,EST)联合腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)治疗胆囊合并总胆管结石的疗效。方法胆囊合并胆总管结石36例,首先经EST取出胆管结石,然后采用LC切除胆囊。结果EST成功34例(94.4%);失败2例,均因胆管末端狭窄,开腹行胆管空肠吻合术治愈。腹腔镜手术34例,成功32例(94.1%),2例中转开腹。结论EST联合LC是治疗胆囊合并胆管结石的优选术式,EST失败者主要原因为胆管狭窄,应首选胆管空肠吻合术。
Objective To evaluate the curative effect of endoscopic sphincterotomy （EST） combined with laparoscopic cholecystectomy （LC） in the treatment of gallstones complicated with common bile duct stones. Methods A total of 36 cases of gallstones complicated with common bile duct stones were enclosed. First EST was performed to remove the bile duct stones, Then LC was applied to resect the gallbladder, Results EST was successfully performed in 34 cases （94, 4% ） and failed in 2 cases because of the terminal stricture of the bile duct that was afterwards cured by an open choledochojejunostomy, LC was performed following EST in 34 cases, 32 of which were successful （94. 1% ） and 2 of which required a conversion to open surgery, Conclusions EST combined with LC is the best way for treating gallstones complicated with common bile duct stones. The biliary stricture mainly accounts for the failure of EST and should be treated by choledochojejunostomy as the first choice.
出处
《中国微创外科杂志》
CSCD
2005年第11期894-895,共2页
Chinese Journal of Minimally Invasive Surgery
