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[急性胆囊炎合并胆总管结石及机械性黄疸患者的联合治疗]

[Combined treatment of patients with acute cholecystitis complicated by choledocholithiasis and mechanical jaundice].

作者信息

Chernekhovskaia N E, Iarema I V, Kulish V A

出版信息

Vestn Khir Im I I Grek. 2001;160(3):90-2.

Abstract

A scheme of combined treatment was used in 72 patients with a complicated form of cholelithiasis. It included retrograde pancreatocholangiography followed by endoscopic papillosphincterotomy, intraoperative cholangiography and drainage of the common bile duct after Pikovsky. There was not a single case of transition to traditional cholecystectomy. Four complications in the postoperative period were obviated during relaparoscopy.

摘要

对72例复杂形式胆石症患者采用了联合治疗方案。该方案包括逆行胰胆管造影,随后进行内镜乳头括约肌切开术、术中胆管造影以及皮科夫斯基术后胆总管引流。没有一例转为传统胆囊切除术。术后有4例并发症在再次腹腔镜检查时得到消除。

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