Golub R, Brodsky N, Cantu R, Golub R, Kuan J, Palmadessa D
Department of Surgery, Flushing Hospital Medical Center, New York 11355, USA.
Surg Laparosc Endosc Percutan Tech. 2000 Oct;10(5):272-4.
The objective was to determine the efficacy and safety of same-session endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy. Twenty-two patients who had ERCP and cholecystectomy performed in the same session under one general anesthetic were compared with 77 patients who had ERCP followed by surgery in the ensuing days. In the 93 patients who underwent attempted laparoscopic cholecystectomy, there was no difference in conversion to open rates between the same-session group and the delayed group. The length of stay after ERCP was longer in the delayed group. Same-session ERCP and cholecystectomy is safe and efficacious, and its routine use should be considered.
目的是确定同期内镜逆行胰胆管造影术（ERCP）和胆囊切除术的疗效及安全性。将22例在一次全身麻醉下同期进行ERCP和胆囊切除术的患者与77例在随后几天先进行ERCP然后手术的患者进行比较。在93例行腹腔镜胆囊切除术的患者中，同期组和延迟组的中转开腹率无差异。延迟组ERCP后的住院时间更长。同期ERCP和胆囊切除术安全有效，应考虑将其常规应用。
