Intraoperative endoscopic sphincterotomy for common bile duct stones during laparoscopic cholecystectomy

INTRODUCTION The advent of laparoscopic cholecystectomy(LC)inthe late 1980s gained widespread acceptance withina short period of time and has become the preferredtreatment for symptomatic gallstones,but themanagement of coexisting gallbladder and commonbile duct(CBD)stones has remained controversialbecause the various strategies proposed have theirlimitations.In fact,choledocholithiasis

胆道造影在腹腔镜胆囊切除术中的特殊价值

目的探讨术中胆道造影透视在腹腔镜胆囊切除术中的特殊价值。方法腹腔镜胆囊切除术中常规胆道造影透视(Routine Intraoprative Flurocholangraphy,FIOC)535例,成功513例,成功率95.89%。结果 FIOC 平均时间19±1分钟,FIOC 发现:胆总管结石37例,肝内胆管结石2例,有指导操作意义的胆道异常33例,胆总管损伤1例。FIOC 未引起胆道损伤,术后并发急性胰腺炎3例。可能与 FIOC 有关。结论 FIOC 迅速、安全、显影清晰,定位准确,能提高 LC 的质量,值得推广应用。

腹腔镜胆囊切除术中联合括约肌切开取石的研究

目的 探讨腹腔镜胆囊切除术 (LC)中联合应用胰胆镜括约肌切开 (IOES)治疗胆石症的价值。 方法 回顾性分析联合手术治疗腹腔镜胆囊切除术前诊断和术中常规胆道造影确诊的2 7例胆囊结石合并胆总管结石患者的临床效果。 结果 IOES成功率为 96 3% (2 6 /2 7) ;取净结石率 10 0 % (2 6 /2 6 ) ;IOES后 2例发生轻度急性胰腺炎 ;术后平均住院时间 (3± 1)d。