三镜联合治疗胆囊结石合并胆总管结石

Combined Choledochofiberscopy,Electronic Duodenoscopy and Laparoscopy in Treating Cholecystolithiasis Complicated with Choledocholithiasis:Report of 94 Cases

目的:总结采用腹腔镜与电子十二指肠镜、纤维胆道镜联合,微创治疗胆囊结石合并胆总管结石病人的治疗经验。方法:采用三镜联合的手术方式对94例胆囊结石合并胆总管结石病人进行微创治疗。结果:94例手术均获成功,无严重并发症。术后住院时间明显缩短。94例随访半年以上未见远期并发症。结论:电子十二指肠镜、纤维胆道镜及腹腔镜的联合应用优势明显,可基本取代开腹胆总管探查术。

Objective：To summarize the method of applying choledochofiberscopy,electronic duodenoscopy and laparoscopy to extract cholecystolithiasis complicated with choledocholithiasis.Methods：From March 2005 to March 2009,94 patients were admitted and received the therapeutical procedures,i.e.endoscopic nasobiliary drainage（ENBD） was first adopted,then followed by laparoscopic common bile duct exploration（LCBDE）,and finally choledochofiberscopy was used during operation to clear the stones.Results：Satisfactory outcome was realized ：94 cases succeeded,no serious complicaions were observed.The postoperative hospitalization period of the multiple endoscopy shortened obviously compard with the open choledocholithotomy.No complications occurred among 94 patients＇follow-up for more than 6 months.Conclusions：The combined laparoscopy and endoscopy can substitute most open choledocholithotomy.