| 赵晖 竺来法 陈紫千 曹文玺 金慧涵△.腹腔镜胆总管探查术在内镜取石失败后的临床应用[J].,2015,15(33):6519-6521 |
| 腹腔镜胆总管探查术在内镜取石失败后的临床应用 |
| Laparoscopic Common Bile Duct Exploration after Failed Endoscopic StoneExtraction in Choledocholith |
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| DOI： |
| 中文关键词: 腹腔镜胆总管探查术 内镜取石 胆总管结石 |
| 英文关键词: Laparoscopic common bile duct exploration Endoscopic stone extraction Choledocholith |
| 基金项目:无锡市医管中心面上项目（YGM1106） |
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| 中文摘要: |
| 目的：探讨腹腔镜胆总管探查术治疗内镜取石失败的胆总管结石的临床疗效。方法：回顾性分析我院2005 年-2013 年实施
腹腔镜胆总管探查术（LCBDE）的患者共89 例，分为两组，其中A 组为患者在内镜取石失败后再行LCBDE 术（n=47），B 组为诊
断胆总管结石后立即行LCBDE术（n=42），比较两组之间手术时间、中转开腹率、结石残留率、术后并发症率( 包括胆瘘、胰腺炎以
及其他)、住院时间、结石复发率。结果：A 组和B 组相比在手术时间、中转开腹率、结石残留率、术后并发症率、住院时间、结石复
发率上并没有统计学差异（P＞0.05）。结论：针对内镜取石失败的胆总管结石患者，腹腔镜胆总管探查术是一种安全、有效的治疗
方法。 |
| 英文摘要: |
| Objective:To explore the result of laparoscopic common bile duct exploration (LCBDE) after failed endoscopic stone
extraction in choledocholith.Methods:A retrospective analysis was performed for 89 consecutive LCBDEs from 2005 to 2013 in our
hospital. Group A included 47 patients who underwent secondary LCBDE after failed endoscopic stone extraction. Group B of 42 cases
was defined for whom primary LCBDE was performed without ERCP. Operative time, open conversion, stone residual, complication,
hospital stay and recurrent stone were compared between the two groups.Results:There was no significant difference between Group A
and Group B in operative time, open conversion, stone residual, complication, hospital stay and recurrent stone (P＞0.05).Conclusion:LCBDE is an effective and safe operation for choledocholith when endoscopic stone extraction is unsuccessful. |
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