两种微创方式治疗胆囊结石合并胆总管结石的临床观察
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- 英文论文题名：Two kinds of minimally invasive methods were used to treat the clinical observation of gallbladder calculi
- 论文作者：付磊 ; 陈志强 ; 智绪亭
- 英文论文作者：Fu Lei ; Chen Zhiqiang ; Zhi Xuting
- 年：2017
- 作者机构：山东大学医学院;济阳县人民医院;山东大学齐鲁医院;
- 论文关键词：微创手术方式 ; 胆囊结石 ; 胆总管结石
- 英文论文关键词：Minimally invasive surgery ; Cholecystolithiasis ; Common bile duct stone
- 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：R657.4
- 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：2
- 文件大小：238k
- 原文格式：O
- 会议级别：全国
摘要
目的:观察LC+LCBDE和ERCP/EST+LC两组手术方式治疗胆囊结石合并胆总管结石的临床效果。方法:比较LC+LCBDE(n=84)和ERCP/EST+LC(n=51)两组术中情况:手术成功率、手术时间、术中失血量;术后恢复情况:腹腔引流管放置时间、胃肠功能恢复时间、术后并发症发生率;住院天数和治疗费用。结果:在手术成功率和并发症发生率上两组无明显差异;LC+LCBDE组手术时间、术中出血量、术后胃肠恢复时间、腹腔引流管安置时间大于ERCP/EST+LC组,但住院时间及住院费用均低于ERCP/EST+LC组。结论:两种手术方式均为安全有效的术式,但各有优缺点,建议患者及临床医生在选择手术方式时,需根据患者的个体情况、胆总管结石的数目、大小及可用医疗设备情况谨慎选择。
Objective:To observe the clinical effect of LCLCBDE and ERCP/ESTLC treatment of cholecystolithiasis and choledocholithiasis.Method:There were 84 cases in LC + LCBDE group.There were 51 cases in LC + LCBDE group.The success rate of operation,the time required for surgery,the intraoperative blood loss,the peritoneal drainage tube placement time,postoperative gastrointestinal recovery time,incidence of postoperative complications,Length of stay and charge in hospital were compared between two groups.Result:There was little difference in the rate of operation success and the incidence of side effects between the two groups.The time required for surgery,the amount of blood lost during surgery,postoperative gastrointestinal function recovery time,the abdominal cavity drainage tube placement time of LC + LCBDE group was greater than ERCP/ESTLC group,but the effective operation,but each has advantages and disadvantages,advise patients and clinicians in the selection of the operation mode,according to the number of patients with individual and common bile duct stones,size and available medical equipment by careful choice.
Objective:To observe the clinical effect of LCLCBDE and ERCP/ESTLC treatment of cholecystolithiasis and choledocholithiasis.Method:There were 84 cases in LC + LCBDE group.There were 51 cases in LC + LCBDE group.The success rate of operation,the time required for surgery,the intraoperative blood loss,the peritoneal drainage tube placement time,postoperative gastrointestinal recovery time,incidence of postoperative complications,Length of stay and charge in hospital were compared between two groups.Result:There was little difference in the rate of operation success and the incidence of side effects between the two groups.The time required for surgery,the amount of blood lost during surgery,postoperative gastrointestinal function recovery time,the abdominal cavity drainage tube placement time of LC + LCBDE group was greater than ERCP/ESTLC group,but the effective operation,but each has advantages and disadvantages,advise patients and clinicians in the selection of the operation mode,according to the number of patients with individual and common bile duct stones,size and available medical equipment by careful choice.
引文
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[3]Tzovaras G,Baloyiannis I,Zachari E,et al.Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis:interim analysis of a controlled randomized trial[J].Ann Surg,2012,255(3):435-9.
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[7]Wang P,Li ZS,Liu F,et al.Risk factors for ERCP-related complications:aprospective nmlticenter study[J].Am J Gastroenterol,2009,104(1):31-40.
[8]陈盛,郑江华,区应亮,等.两种微创方式治疗胆囊结石合并胆总管结石的临床疗效比较[J].中国普外基础与临床杂志,2012,19(11):1213-1217.
[2]于澜,张抒,黄德全,等.腹腔镜联合术中胆道镜、十二指肠镜治疗胆囊结石并胆总管结石[J].中国普外基础与临床杂志,2010,17(4):323-325.
[3]Tzovaras G,Baloyiannis I,Zachari E,et al.Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis:interim analysis of a controlled randomized trial[J].Ann Surg,2012,255(3):435-9.
[4]Rogers SJ,Cello JP,Horn JK,et al.Prospective randomized trialof LC+LCBDE vs ERCP/S+LC for common bile duct stone disease[J].Arch Surg,2010,145(1):28-33.
[5]陈平,别平,王曙光,等.腹腔镜胆道探查取石胆囊切除术与ERcP加腹腔镜胆囊切除术的疗效比较[J].第三军医大学学报,2003,25(13):1188-1190.
[6]吴君正.双镜联合同期治疗胆囊结石并肝外胆管结石的临床应用研究[D].广州.南方医科大学博士学位论文,2014:62.
[7]Wang P,Li ZS,Liu F,et al.Risk factors for ERCP-related complications:aprospective nmlticenter study[J].Am J Gastroenterol,2009,104(1):31-40.
[8]陈盛,郑江华,区应亮,等.两种微创方式治疗胆囊结石合并胆总管结石的临床疗效比较[J].中国普外基础与临床杂志,2012,19(11):1213-1217.