Cooperman A M, Siegel J, Neff R, Reddy S, Hammerman H
Department of Surgery, St. Clare's Hospital and Health Center, New York, NY 10019.
J Laparoendosc Surg. 1991;1(2):115-7. doi: 10.1089/lps.1991.1.115.
Of 11 patients with gallstone pancreatitis, 10 underwent preoperative ERCP. Calculi were removed from the common duct in two patients. All patients underwent laparoscopic cholecystectomy, with normal rapid convalescence. The eleventh patient is recovering from pancreatitis with the bile duct accessed percutaneously. A combined endoscopic and laparoscopic approach to gallstone pancreatitis is safe and was associated with minimal risk in this small series.
11例胆石性胰腺炎患者中,10例接受了术前内镜逆行胰胆管造影(ERCP)。2例患者的胆总管结石被取出。所有患者均接受了腹腔镜胆囊切除术,恢复迅速且情况正常。第11例患者正从胰腺炎中恢复,经皮穿刺进入胆管。在这个小系列研究中,内镜和腹腔镜联合治疗胆石性胰腺炎是安全的,且风险极小。