首页|双镜联合胆总管探查取石在肝内外胆管结石中的应用

双镜联合胆总管探查取石在肝内外胆管结石中的应用

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选取有腹腔镜上腹部手术史的肝内外胆管结石患者 120例,据手术方式分成开放组、双镜联合组,另取双镜联合胆总管探查取石术的无腹部手术史肝内外胆管结石患者为对照组,比较 3组干预效果。结果显示腹腔镜联合胆道镜胆总管探查取石在有腹腔镜上腹部手术史的肝内外胆管结石患者中适用,疗效优于开放手术,效果与无腹部手术史患者接近,远期并发症率及结石复发率较低。
Application of double mirror combined common bile duct exploration and lithotomy in the treatment of intrahepatic and extrahepatic bile duct stones
A total of 120 patients with intrahepatic and intrahepatic cholelithiasis with a history of laparoscopic epigastric surgery were retrospectively selected,and divided into open group and double-mirror combined group according to the operation method.Patients with intrahepatic and intrahepatic cholelithiasis without a history of abdominal surgery undergoing double-mirror combined common bile duct exploration and lithotomy were selected as the control group.The intervention effects of the three groups were compared.The results showed that laparoscopy combined with choledochoscope choledocholithotomy was suitable for patients with intraand intrahepatic bile duct stones with a history of laparoscopic upper abdominal surgery,and the efficacy was better than that of open surgery,and the effect was similar to that of patients without a history of abdominal surgery,with a lower rate of long-term complications and stone recurrence.

Intrahepatic and extrahepatic bile duct stonesLaparoscopyCholedochoscopeCommon bile duct exploration lithotomy

邱峰、毛郁琪、常剑

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上海交通大学医学院苏州九龙医院 普外科 江苏省,苏州市 215021

肝内外胆管结石 腹腔镜 胆道镜 胆总管探查取石

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(6)