十二指肠镜联合腹腔镜治疗胆总管结石合并胆囊结石30例疗效分析

目的探讨胆总管结石合并胆囊结石的患者采取十二指肠镜联合腹腔镜的治疗效果。方法回顾性分析经超声、CT、磁共振胰胆管造影(MRCP)确诊的胆总管结石合并胆囊结石的患者30例,行十二指肠镜联合腹腔镜取石。结果患者胃肠功能恢复时间为(23.5±6.4)h,平均住院时间为(11.3±2.2)d,术后1例(3.33%)患者发生胆漏,术后随访无残留结石或结石复发。结论十二指肠镜联合腹腔镜治疗胆总管结石合并胆囊结石具有微创、安全、有效、患者术后恢复快等优点,减少了开腹手术所引发的并发症,并保持了胆总管的完整性。

Objective To explore effect of the common bile duct stones and gallbladder stones in patients with duodenoscopy and laparoscopy treatment. Methods Review of hospital patients with the common bile duct stones associated with gallbladder stones, both by ultrasound, CT, magnetic resonance cholangiopancreatography （MRCP） in diagnosis. Results Recovery of gastrointestinal function in patients （23.5± 6.4） h, The average length of stay （11.3±2.2） d, One cases （3.33%） in patients with bile leakage, Postoperative follow-up no residual stones or stone recurrence. Conclusion Duodenoscope and the advantages of laparoscopic treatment of choledocholithiasis with gallbladder stones with minimally invasive, safe, effective, patients and rapid recovery, reduce complications caused by the laparotomy, and maintain the integrity of the common bile duct.