联合运用腹腔镜和胆道镜在胆管结石中的适应症把握
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- 英文论文题名：Operation Indications of Joint Application of Laparoscopy and Choledochoscopy for Bile Duct Stones
- 论文作者：李兵
- 英文论文作者：LI Bing ; Chongzhou Hospital
- 年：2017
- 作者机构：四川省崇州市人民医院;
- 论文关键词：腹腔镜 ; 胆道镜 ; 胆管结石 ; 适应症
- 英文论文关键词：Laparoscopy ; Cholangioscopy ; Bile Duct Stones ; Indications
- 会议召开时间：2017-05-26
- 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
- 语种：中文
- 分类号：R657.42
- 学会代码：ZHXB
- 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
- 会议地点：中国湖北武汉
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：1
- 文件大小：115k
- 原文格式：O
- 会议级别：全国
摘要
目的:探讨联合运用腹腔镜和胆道镜治疗胆管结石的手术适应症。方法:选用我院于2013年3月至2015年3月间收治的胆管结石患者120例进行回顾性分析,并依据结石大小对病例行分组比较。结果:120例患者中,完成腹腔镜和胆道镜联合治疗术115例,5例由于结石过多,直径较大(>1 cm)而无法取出,改行胆总管切开取石T管引流术。所有患者无一例手术死亡,均痊愈出院。结论:采用联合运用腹腔镜和胆道镜的微创手术,对于继发性胆管结石有较高的适用性,尤其是对于直径<1 cm的结石,治疗效果更为明显,是小直径结石手术的最佳适应症。
Objective:To explore the operation indications of joint application of laparoscopy and choledochoscopy for calculus bile duct Methods:120patients with bile duct stones who had received treatment in our hospital between March 2013 and March 2015 were retrospectively analyzed,which were,based on their stone size,divided into two groups for comparison.Results:Among the 120 cases of patients,115 cases finished laparoscopic and choledochoscopic surgery successfully.However,five cases failed due to the excessive stones and their larger diameter(> 1 cm) which could not be removed,thus received choledocholithotomy-t-tube drainage instead.No patients died from surgery and all were cured and discharged from hospital.Conclusion:Minimally invasive surgery with joint application of laparoscopy and choledochoscopy is with high value for secondary bile duct stones,especially for those of diameter larger than 1 cm,which is with obvious treatment effect:therefore,it is the best operation indication for small-diameter stone surgery.
Objective:To explore the operation indications of joint application of laparoscopy and choledochoscopy for calculus bile duct Methods:120patients with bile duct stones who had received treatment in our hospital between March 2013 and March 2015 were retrospectively analyzed,which were,based on their stone size,divided into two groups for comparison.Results:Among the 120 cases of patients,115 cases finished laparoscopic and choledochoscopic surgery successfully.However,five cases failed due to the excessive stones and their larger diameter(> 1 cm) which could not be removed,thus received choledocholithotomy-t-tube drainage instead.No patients died from surgery and all were cured and discharged from hospital.Conclusion:Minimally invasive surgery with joint application of laparoscopy and choledochoscopy is with high value for secondary bile duct stones,especially for those of diameter larger than 1 cm,which is with obvious treatment effect:therefore,it is the best operation indication for small-diameter stone surgery.
引文
[1]韩威,张忠涛,李建设,等.胆囊管汇入部微切开在腹腔镜胆道探查术中的应用[J].中国微创外科杂志2011,11(11):970-972.
[2]陈武强.王京立,杨敖霖,等.腹腔镜联合胆道镜治疗胆总管结石的临床分析[J].中国普通外科杂志,2010,19(2):120-123.
[3]屈湘军,王水明,孔白泉,等.腹腔镜联合胆道镜治疗胆总管结石的临床效果分析[J].中国现代手术学杂志,2012,16(2):96-98.
[2]陈武强.王京立,杨敖霖,等.腹腔镜联合胆道镜治疗胆总管结石的临床分析[J].中国普通外科杂志,2010,19(2):120-123.
[3]屈湘军,王水明,孔白泉,等.腹腔镜联合胆道镜治疗胆总管结石的临床效果分析[J].中国现代手术学杂志,2012,16(2):96-98.