Clinical study of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography/endoscopic Oddi sphincterotomy on the treatment of cholecystolithiasis complicated by choledocholithiasis
10.3760/cma.j.issn.1673-4904.2011.14.010
- VernacularTitle:腹腔镜胆囊切除术与内窥镜逆行胰胆管造影术/内窥镜下Oddi括约肌切开取石术联合治疗胆囊结石合并胆总管结石
- Author:
Qiyou SHEN
;
Chenggang JI
;
Bin WANG
;
Chunxin ZHANG
- Publication Type:Journal Article
- Keywords:
Surgical procedures,minimally invasive;
Cholecystectomy,laparoscopic;
Endoscopy;
Cholecystolithiasis
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(14):24-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical value of laparoscopic cholecystectomy (LC) combined with endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic Oddi sphincterotomy (EST) on treating choledocholithiasis with cholecystolithiasis. Method The clinical data of 48 patients with choledocholithiasis complicated by cholecystolithiasis treated with LC combined with ERCP/EST from January 2005 to August 2010 was collected and analyzed retrospectively. Results Forty-six patients achieyed success by ERCP,and 45 patients finished LC,all patients underwent LC combined with ERCP/EST were recovered more rapidly,with shorter hospital stays. No severe complications or residual stone and refluent cholangitis in the follow-up of 3-12 months of 46 patients. Conclusions Combining the advantages of LC with ERCP/EST treating patients with choledocholithiasis complicated by cholecystolithiasis,according to the theoretics of minimally invasive surgery, with less invasive and the advantages of shorter hospital stays and rapid recovery. It is the comparatively ideal choice for the treatment of choledocholithiasis complicated by cholecystolithiasis at present.
