摘要
目的探讨肝外胆管结石的微创治疗方法,创建肝外胆管结石的系列化治疗方案。方法选择自1998年4月至2004年6月收治的3126例肝外胆管结石病人,首先行十二指肠镜治疗,根据治疗结果及结石的具体情况分别采用微创治疗方案(一镜方案、二镜方案①或②、三镜方案)、开腹手术方案及姑息性方案治疗。结果应用该系列化方案治疗肝外胆管结石病人3126例,取得了满意疗效,其中微创治疗方案治疗成功者占97.57%,术后无严重并发症发生。结论该系列方案针对性用于不同类型、不同程度的肝外胆管结石病人,不仅充分体现了内镜、腹腔镜联合微创治疗的优越性,扩大了微创治疗的范围,而且又将微创治疗手段和传统开腹手术相结合,使肝外胆管结石的治疗方案更加完整和规范。
Objective To find an appropriate approach for mini invasive surgical treatment of extrahepatic bile duct stone disease （EHBDSD）. Methods The clinical data of 3126 patients with EHBDSD treated in our hospital from April 1998 to June 2004 were retrospectively analyzed. All the patients underwent duodenoscopy at first. Based on the outcomes of the duodenoscopy and special conditions of extrahepatic bile duct stones, a series of schemes were proposed. They were mini-invasive treatment （including uni-scopy, bi-scopy and tri-scopy）, laparotomy and alleviation. The successful rate and postoperative results were determined and analyzed. Results The serial scheme of surgical treatment for EHBDSD achieved satisfactory results. The successful rate of mini-invasive treatment for various conditions of extrahepatic bile duct stones was 97.57% （3050/3126）. There were no seri- ous postoperative complications. Conclusions The 4 schemes of mini invasive treatment can be used for various conditions of EHBDSD step by step. It utilizes techniques of digestive endoscopy and lapa roscopy and shows fully the characteristics of mini-invasive surgical means, thus expands the therapeutic scope of mini-invasive surgery and improves the successful rate in treatment of complicated extrahepatic bile duct stone.
出处
《中华肝胆外科杂志》
CAS
CSCD
2006年第1期24-26,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
腹腔镜术
十二指肠镜
胆道镜
肝外胆管结石
系列化方案
Laparoscopy
Duodenoscopy
Choledochoscopy
Extrahepatic bile duct stone
Serial scheme
