Chernekhovskaia N E, Iarema I V, Kulish V A
Vestn Khir Im I I Grek. 2001;160(3):90-2.
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.
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。