腹腔镜胆囊切除术联合术中内镜括约肌切开术与腹腔镜胆总管探查术治疗胆囊结石合并胆总管结石的比较

[Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and combined with laparoscopic common bile duct exploration in treatment of: cholelithiasis and calculus of common bile duct].

作者信息

Xin Ying, Hong De-fei, Cai Xiu-jun, Mou Yi-ping, Li Li-bo, Wang Guan-yu, Wang Xian-fa, Wei Qi, Chen Ding-wei

机构信息

Department of General Surgery, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou 310016, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2007 Oct 16;87(38):2703-5.

PMID:18167249

Abstract

OBJECTIVE

To explore the best mini-invasive treatment for cholelithiasis and calculus of common bile duct.

METHODS

275 patients diagnosed as with cholelithiasis and choledocholithiasis were divided randomly into 2 groups: laparoscopic cholecystectomy (LC) combined with intraoperative endoscopic sphincterotomy (IOEST) and laparoscopic exploration of the common bile duct (LCBDE) LC- LCBDE group, n = 146), and LC combined with intraoperative endoscopic sphincterotomy (IOEST) (LC-IOEST group, n = 129). The surgical time, surgical successful rate, stone number, complication rate, residual common bile duct stone rate, postoperative hospital stay, and hospitalization cost were compared.

RESULTS

No difference was found between these two groups in terms of the surgical time, surgical successful rate, the stone number, complication rate, residual common bile duct stone rate, postoperative hospital stay, and hospitalization cost.

CONCLUSION

LC-IOEST and LC-LCBDE are both effective minimally invasive treatments for cholelithiasis and calculus of common bile duct.

摘要

目的

探讨胆结石和胆总管结石的最佳微创治疗方法。

方法

将275例诊断为胆结石和胆总管结石的患者随机分为两组：腹腔镜胆囊切除术（LC）联合术中内镜括约肌切开术（IOEST）及腹腔镜胆总管探查术（LCBDE）（LC-LCBDE组，n = 146），以及LC联合术中内镜括约肌切开术（IOEST）（LC-IOEST组，n = 129）。比较两组手术时间、手术成功率、结石数量、并发症发生率、胆总管残余结石率、术后住院时间及住院费用。