二三镜联合治疗胆囊合并胆总管结石28例

Application of three endoscopies in the treatment of gallstone with bile duct stone

目的探讨二三镜联合治疗胆管结石的可行性及优越性。方法28例胆囊结石合并胆总管结石患者接受腹腔镜胆囊切除术和内窥镜下括约肌切开取石术。部分患者施行腹腔镜下胆囊切除和胆总管切开取石术治疗。结果28例患者成功进行二三镜联合治疗，术后恢复快。住院时间短，无并发症，痊愈出院。随访6～12个月无残余结石和返流性胆管炎。结论二三镜联合治疗继发性胆总管结石是安全可靠、疗效确切的微创治疗。

Objective To study the feasibility and advantage of laparoscopy combined with endoscopies for the treatment of bile duct stone. Methods 28 patients with gallstone with bile duct stone were underwent for laparoscopic cholecystectomy（LC） and endoscopic sphincterotomy （EST）. Some patients were treated by LC and eholedocholithotomy . Results Combining appliances of three endoseopies was successful to those patients. No complications occurred. The patients got a quick recovery. Following up for six to twelve months, no evidences for residual stone and refluent cholangitis were found. Conclusions Combined appliances of three endoscopies is a mini-injured therapy for gallstone with bile duct stone.