“三镜联合”序贯微创治疗胆系结石

Combined laparoscopy,duodenoscopy and choledochoscopy for biliary stones

目的:总结腹腔镜、胆道镜、十二指肠镜3镜联合序贯微创治疗胆系结石的方法。方法:回顾分析2001年5月至2010年5月采用"三镜联合"序贯方案治疗2012例胆系结石的临床资料。结果:1957例成功采用序贯微创方案完成治疗。其中单用腹腔镜1491例,单用十二指肠镜45例,腹腔镜联合十二指肠镜279例,腹腔镜联合胆道镜及十二指肠镜142例。中转开腹55例,总成功率97.27%。手术并发症发生率2.09%。全组无死亡病例。结论:"三镜联合"方案具有患者损伤小、痛苦少、康复快等优点,提高了胆系结石微创治疗的成功率,临床效果满意。

Objective：To summarize the method of sequential mini-invasive treatment of combined laparoscopy,choledochoscopy and duodenoscopy for biliary stones.Methods：The clinical data of 2 012 cases of biliary stones treated by laparoscopy combined with choledochoscopy and duodenoscopy from May 2001 to May 2010 was retrospectively analyzed.Results：One thousand nine hundred and fifty-seven of the 2 012 patients were cured.Laparoscopy was used in 1 491 cases,and duodenoscopy in 45 cases,laparoscopy combined with duodenoscopy in 279 cases,laparoscopy combined with duodenoscopy and choledochoscopy in 142 cases.55 cases were converted to laparotomy.The success rate of the sequential treatment was 97.27% and the complication occurrence rate was 2.09%.No death occurred.Conclusions：This method has the advantages of little trauma and rapid recovery.It improves the success rate of mini-invasive treatment of biliary stones and the clinical effect is satisfied.