Application of endoscopic retrograde cholangiopancreatography and end oscopic sphincterotomy in laparoscopic cholecystectomy
- VernacularTitle:ERCP和EST在腹腔镜胆囊切除术中的作用
- Author:
Jian YOU
;
Ping WANG
;
Xinmin LI
- Publication Type:Journal Article
- Keywords:
Endoscopic retrograde cholangiopancreatography;
Endoscopic sphincterotomy;
Laparoscopic cholecystectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo summarize the curative effect of l aparoscopic cholecys tectomy (LC) combined with endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) for cholelithiasis concurrent with choledoc holithiasis.MethodsERCP and EST were applied in 210 patients suspected for c holedocholithiasis before (164 cases) or after (46 cases)LC.Results ERCP dis closed choledocholithiasis in 69 patients before LC, and then stones were comple tely removed by EST in 63 patients, with a clearance rate of 91 3% (63/69); ERC P revealed residual cholelith in 9 patients after LC, and 8 of them were cured by EST, with a clearance rate of 88 9% (8/9).ConclusionsLC co mbined with ERCP and EST for cholelithiasis concurrent with choledocholithiasis is safe and effec tive, keeping patients free from open surgery.
