[两种微创治疗继发性胆总管结石策略的临床比较]
[A clinical comparison of two strategies for minimal invasive treatment of secondary common bile duct stone].
作者信息
Han Wei, Jiang Wei, Jin Lan, Li Jian-she, Zhang Zhong-tao
机构信息
Department of General Surgery, Beijing Friendship Hospital Affiliated to Capital University of Medical Science, Beijing 100050, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2009 Mar 1;47(5):353-5.
OBJECTIVE
To compare the clinical efficiency of two strategy in the treatment of secondary common bile duct stones: laparoscopic cholecystectomy with transcytotic common bile duct exploration (LC + LTCBDE), or laparoscopic cholecystectomy after endoscopic sphincterotomy (EST + LC).
METHODS
According to the screening standard, 88 patients with secondary bile duct stones (43 cases in LC + LTCBDE group, 45 cases in EST + LC group) who were treated from June 2005 to November 2007 were analyzed retrospectively. The achievement ratio, complications, average hospital stay and cost between two groups were compared. And all patients were followed up.
RESULTS
There were no significant differences on achievement ratio and complications between two groups (P > 0.05). The LC + LTCBDE group has significantly shorter hospital stay and lower cost (P < 0.05). There were no recurrence in 1 year.
CONCLUSIONS
LTCBDE is a promising strategy which has more advantages in the minimal invasive treatment of secondary common bile duct stones.
目的
比较两种治疗继发性胆总管结石策略的临床疗效：经胆囊管途径腹腔镜胆囊切除术联合胆总管探查术（LC + LTCBDE），或内镜括约肌切开术后腹腔镜胆囊切除术（EST + LC）。
方法
根据筛选标准，回顾性分析2005年6月至2007年11月间接受治疗的88例继发性胆管结石患者（LC + LTCBDE组43例，EST + LC组45例）。比较两组的成功率、并发症、平均住院时间和费用。所有患者均进行随访。
结果
两组在成功率和并发症方面无显著差异（P > 0.05）。LC + LTCBDE组的住院时间明显更短，费用更低（P < 0.05）。1年内无复发。
结论
LTCBDE是一种有前景的策略，在继发性胆总管结石的微创治疗中具有更多优势。
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