Study on the combined application of laparoscopic cholecystectomy and endoscopic sphincterotomy in treatment of cholecystolithiasis and secondary choledocholithiasis
- VernacularTitle:LC与EST联合应用治疗胆囊结石继发性胆总管结石
- Author:
Daguang TIAN
;
Jie HUANG
;
Jie ZHANG
;
Jianghua RAN
;
Xiaoping WEI
;
Guohai DONG
- Publication Type:Journal Article
- Keywords:
Cholecystomy,Laparoscopy;
Endoscpic Sphincterotomy;
Choledocholithiasis/surg;
Cholelithiasis/surg
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the therapeutic effects of combined use of laparoscopic cholecystetomy and endoscopic sphincterotomy for cholecystolithiasis with secondary choledocholithiasis.Methods Thirty-five patients were diagnosed as cholecystolithiasis with secondary choledocholithiasis by B-ultrasonography and magnetic resonance cholangiopancreatography.Of them,in 28 cases,laparoscopic cholecystetomy was performed first,and ERCP and endoscopic sphincterotomy were done one week later;in 7 cases,endoscopic sphincterotomy were performed before laparoscopic cholecystectomy.Results The outcome of all the thirty-five cases was satisfactory without severe complications or conversion into open procedure.Conclusions The method of combined laparoscopic cholecystomy and endoscopic sphincterotomy,for cholecystolithiasis with secondy choledocholithiasis,especially for cases in whom the diameter of the common bile duct stone is ≤1cm,can give good therapeutic results and has advantages of minimal invasiveness,few complications and quick recovery.
