Observation and nursing of the complications after the treatment of endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy combined with laparoscopic cholecystectomy for the patients suffered from gallstone disease combined with comm
10.3760/cma.j.issn.1672-7088.2015.06.011
- VernacularTitle:双镜联合治疗胆囊结石合并胆总管结石并发症的观察及护理
- Author:
Zhongying XU
;
Liang LAI
;
Guoping ZHANG
- Publication Type:Journal Article
- Keywords:
Cholecystolithiasis;
Choledocholithiasis;
Cholecystectomy,laparoscopic;
Sphincterotomy,endoscopic;
Complication
- From:
Chinese Journal of Practical Nursing
2015;31(6):423-425
- CountryChina
- Language:Chinese
-
Abstract:
Objective The research aimed to probe into the complications of the treatment that endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy (ERCP/EST) combined with laparoscopic cholecystectomy (LC) for the patients suffered from gallstone disease combined with common bile duct stones and investigate the nursing methods.Methods One hundred and twenty-four patients suffered from gallstone disease combined with common bile duct stones were included in this retrospective analysis.At first,they underwent the treatment of ERCP/EST,and underwent LC in 1 to 5 days later.All the clinical data were collected and analyzed.Results Of all the patients,104 patients successfully underwent the treatment of ERCP/EST.And of the 104 patients,100 patients successfully underwent LC,the other 4 patients underwent open cholecystectomy.Nineteen complicated with acute pancreatitises,one with hemorrhage and two suffered from infections of bile duct were observed in this study.Conclusions Combination of ERCP/EST with LC is a safe and effective treatment for gallstone disease combined with common bile duct stones.The preoperative psychological counseling,and the surveillance and nursing of complications play significant roles in the successful treatment.
