Tunis Med. 2021 Feb;99(2):233-237.
The combination of gallbladder stone and main biliary stone is seen in 10-25% of cases. Its management with the combination of endoscopic and surgical treatment is increasingly adopted.
To evaluate the efficacy and safety of preoperative retrograde endoscopic retrograde cholangiopancreatography in the treatment of concomitant gallstones and common bile duct stones.
Retrospective study including patients with concomitant gallstones and common bile duct stones and who had preoperative endoscopic retrograde cholangiopancreatography. The rate of clearance from the main bile duct and the rate of complications were evaluated.
One hundred and twenty patients aged 57.4±2.7 years were included on average. The rate of catheterization of the main bile duct was 90%. Endoscopic retrograde cholangiopancreatography was unnecessary in 34.1%. Main bile duct clearance was obtained in 95.5% of patients who presented lithiasis during the procedure. The endoscopic treatment was efficient in 53,3% of cases Post endoscopic retrograde post cholangio-pancreatography acute panreatitis occurred in 1.6% of cases with an overall complication rate of 6.6%.
Preoperative endoscopic treatment of concomitant gallstones and common bile duct stones is effective with good safety.
胆囊结石和主胆管结石的联合发生在 10-25%的病例中。采用内镜和手术联合治疗越来越多地被采用。
评估术前逆行内镜逆行胰胆管造影术治疗胆囊结石合并胆总管结石的疗效和安全性。
回顾性研究包括术前接受内镜逆行胰胆管造影术治疗的胆囊结石合并胆总管结石患者。评估主胆管清除率和并发症发生率。
平均纳入 120 名年龄为 57.4±2.7 岁的患者。主胆管插管率为 90%。34.1%的患者不需要进行内镜逆行胰胆管造影术。在手术过程中出现结石的患者中，95.5%的患者获得了主胆管清除。内镜治疗在 53.3%的病例中有效。术后内镜逆行胰胆管造影术后胰腺炎的发生率为 1.6%，总体并发症发生率为 6.6%。
术前内镜治疗胆囊结石合并胆总管结石有效，安全性良好。
