内镜逆行胰胆管造影术中早期预切开与标准胆管插管技术的比较：个人经验
Comparison of early pre-cutting vs standard technique for biliary cannulation in endoscopic retrograde cholangiopancreatography: a personal experience.
作者信息
Laohavichitra Kannikar, Akaraviputh Thawatchai, Methasate Asada, Leelakusolvong Somchai, Kachintorn Udom
机构信息
Department of Surgery, Siriraj GI Endoscopy center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
出版信息
World J Gastroenterol. 2007 Jul 21;13(27):3734-7. doi: 10.3748/wjg.v13.i27.3734.
AIM
To compare the results and complications of early pre-cutting technique with standard technique.
METHODS
From January 2003 to December 2004, a total of 416 consecutive therapeutic biliary ERCP procedures were performed by one endoscopist (T.A.). Data were retrospectively collected according to procedure indication and results. Of these, 293 procedures (70.4%) were done with standard technique (group A) and 123 procedures (29.6%) with early pre-cutting technique in case of difficult cannulation (group B). The results and complications of ERCP were compared.
RESULTS
Success rate of first attempt cannulation was 98.0% in group A and 87.8% in group B. The overall incidence of post-ERCP pancreatitis, hemorrhage, perforation and cholangitis was 0%, 0.2%, 0.5% and 0.5%, respectively. Morbidity rate was not significantly different. No procedure-related mortality was occurred.
CONCLUSION
For an experienced hand, the early pre-cutting technique for biliary cannulation is safe and effective as standard technique.
目的
比较早期预切开技术与标准技术的结果及并发症。
方法
2003年1月至2004年12月，由一名内镜医师（T.A.）连续进行了416例治疗性胆管内镜逆行胰胆管造影（ERCP）手术。根据手术指征和结果回顾性收集数据。其中，293例手术（70.4%）采用标准技术（A组），123例手术（29.6%）在插管困难时采用早期预切开技术（B组）。比较ERCP的结果和并发症。
结果
A组首次插管成功率为98.0%，B组为87.8%。ERCP术后胰腺炎、出血、穿孔和胆管炎的总发生率分别为0%、0.2%、0.5%和0.5%。发病率无显著差异。未发生与手术相关的死亡。
结论
对于经验丰富的操作者，胆管插管的早期预切开技术与标准技术一样安全有效。
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