Experience for diagnosis and surgical treatment of 21 patients with pancreatic duct stone
10.3760/cma.j.issn.1673-4904.2011.26.002
- VernacularTitle:21例胰管结石的诊断及治疗
- Author:
Yuanguo HU
;
Qiang HUANG
;
Chenhai LIU
;
Cheng WANG
;
Lujun QIU
;
Shitang WANG
;
Xiansheng LIN
- Publication Type:Journal Article
- Keywords:
Surgery;
Diagnosis;
Pancreaticojejunostomy;
Laparoscopes;
Pancreatic duct stone
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(26):4-6
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore diagnosis and surgical treatment of pancreatic duct stone.MethodsClinical data of 21 patients with pancreatic duct stone was analyzed retrospectively. All patients were diagnosed definitely by B-ultrasonography,CT and MRI, the positive rates were 90.5％( 19/21 ),66.7％(14/21) and 55.6％ (5/9) respectively, 15 cases did transpancreatic duct lithotomy and pancreatico-intestinal anastomosis, 1 case excised the tail of pancreas simultaneously, 1 case did pancreaticoduodenectomy, 4 cases treated by endoscopy. ResultsAll operations succeeded, 1 case occurred with pancreatic leakage after a small amount of discharge tube, 1 case appeared acute pancreatitis after endoscopic treatment,who was discharged after conservative treatment. Following up 19 cases from 4 to 72 months, the symptom was released, no stone relapsed,6 cases with mild catarrhal dysentry. ConclusionB-ultrasonography, CT can basically make definite diagnosis for pancreatic duct stone, and B-ultrasonography has higher rate of diagnosis, transpancreatic duct lithotomy and pancreatico-intestinal anastomosis are the main surgical treatments, endoscopy is the method to treat pancreatic duct stone.
