Král V, Axmann K, Havlík R, Vojácek P
I. chirurgická klinika LF UP, Olomouc.
Rozhl Chir. 1996 Mar;75(3):143-6.
The authors compare the value of ERCP in laparoscopic and classical cholecystectomy. They analyze groups of 1356 classical and 527 laparoscopic cholecystectomies. The number of ERCP indicated before surgery rose in laparoscopic cholecystectomies 17x, as compared with classical surgery. In ERCP indicated after surgery the number increased 2.3x. In choledocholithiasis ERCP proved to be a reliable diagnostic and therapeutic method. The number of laparotomies in residual choledocholithiasis in laparoscopic cholecystectomies should not exceed 10-12%.
作者比较了内镜逆行胰胆管造影术(ERCP)在腹腔镜胆囊切除术和传统胆囊切除术中的价值。他们分析了1356例传统胆囊切除术和527例腹腔镜胆囊切除术的病例组。与传统手术相比,腹腔镜胆囊切除术前ERCP的指征数量增加了17倍。术后ERCP指征数量增加了2.3倍。在胆总管结石症中,ERCP被证明是一种可靠的诊断和治疗方法。腹腔镜胆囊切除术后残留胆总管结石症的剖腹手术数量不应超过10 - 12%。