CAJ | 학술논문

　　目的总结腹腔镜联合硬质胆镜治疗胆囊结石合并肝内外胆管结石手术配合要点。方法采用腹腔镜联合硬质胆镜治疗86例胆囊结石合并肝内外胆管结石的病人，配合做好手术配合护理工作。结果86例病人中手术成功84例（97.7％），中转开腹2例；术中平均出血（20.3±1.3）mL，平均手术时间（90.6±10.1）min；结石清除率为91.7％。结论腹腔镜联合硬质胆镜治疗胆囊结石合并肝内外胆管结石安全、创伤小、结石清除率高，熟练的手术配合是确保手术顺利进行的重要措施。
　　목적총결복강경연합경질담경치료담낭결석합병간내외담관결석수술배합요점。방법채용복강경연합경질담경치료86례담낭결석합병간내외담관결석적병인，배합주호수술배합호리공작。결과86례병인중수술성공84례（97.7％），중전개복2례；술중평균출혈（20.3±1.3）mL，평균수술시간（90.6±10.1）min；결석청제솔위91.7％。결론복강경연합경질담경치료담낭결석합병간내외담관결석안전、창상소、결석청제솔고，숙련적수술배합시학보수술순리진행적중요조시。
Objective To summarize the key points in operative cooperation in laparoscopy and rigid choledochoscopy in the treatment of cholecystolithiasis complicated with calculus of bile duct.Methods 86 cases of cholecystolithiasis complicated with calculus of bile duct were treated with laparoscopy combined with rigid choledochoscopy.Perioperative nursing was conducted carefully.Results Operations on 84 of cases were successful and another 2 cases turned to open operations.The average bleeding volume was(20.3±1.3)mL and the average operation duration was(90.6±10.1)mins.The clearance rate of calculus was 91.7%. Conclusions The laparoscopy combined with rigid choledochoscopy is safe and minimal in invasion and high in clearance rate of calculus.The skillful operative cooperation is critical for the smooth performance of the operation.