经内镜逆行胰胆管造影术联合腹腔镜胆囊切除术治疗胆囊结石合并胆总管结石的临床价值

Clinical value of treating cholecystolithiasis and choledocholithiasis with endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy

目的:探讨经内镜逆行胰胆管造影术(ERCP)联合腹腔镜胆囊切除术(LC)治疗胆囊结石合并胆总管结石的临床应用价值。方法:对30例采用ERCP联合LC治疗胆囊合并胆总管结石患者的临床资料进行回顾性分析。结果:手术成功率93.3%(28/30),胆总管结石残留率3.5%(1/28)。十二指肠乳头出血6.7%(2/30),ERCP术后胰腺炎16.7%(5/30)。LC术后无相关并发症。平均手术时间(78.1±20.5)min,平均住院时间(11±3)d。结论:ERCP联合LC是治疗胆囊结石合并胆总管结石有效的微创手术方式。

Objective ：To explore the clinical value of treating cholecystolithiasis and choledocholithiasis with endoscopic retrograde cholangiopancreatography（ERCP） combined with laparoscopic cholecystectomy （LC）. Methods： The clinical data of 30 cases with choleeystolithiasis with choledocholithiasis treated with ERCP combined with LC were analysed retrospectively. Results：The success rates of ERCP combined with LC were 93.3 % （28/30）, the choledocholithiasisretention rates were 3.5 % （1/28）, and the incidence of pancreatitis after ERCP was 6.7 % （5/30）. There wasn＇t any complications after LC. The operating and hospital stays were （78.1 ± 20. 5） minutes and（ 11 ± 3）days respectively. Conclusions： The treating cholecystolithiasis and choledocholithiasis with ERCP combined with LC is an effective way of minimally invasive surgery.