CAJ | 학술논문

目的：探讨腹腔镜下胆囊管汇入部微切开联合胆道镜取石治疗胆总管结石的效果及安全性。方法选取胆总管结石患者30例,并予腹腔镜下胆囊管汇入部微切开联合胆道镜取石，评估其效果及安全性。结果30例患者手术成功率为100%，手术时间（82.65±3.63）min，术后住院（2.75±1.12）d，均未见严重并发症发生。所有患者随访10～12个月，一般情况、饮食状况均良好，未见结石复发及胆道狭窄等。结论腹腔镜下胆囊管汇入部微切开联合胆道镜取石治疗胆总管结石临床效果较好。
목적：탐토복강경하담낭관회입부미절개연합담도경취석치료담총관결석적효과급안전성。방법선취담총관결석환자30례,병여복강경하담낭관회입부미절개연합담도경취석，평고기효과급안전성。결과30례환자수술성공솔위100%，수술시간（82.65±3.63）min，술후주원（2.75±1.12）d，균미견엄중병발증발생。소유환자수방10～12개월，일반정황、음식상황균량호，미견결석복발급담도협착등。결론복강경하담낭관회입부미절개연합담도경취석치료담총관결석림상효과교호。
Objective To investigate the efficacy and safety of laparoscopic micro-incision of cystic duct confluence combined with choledochoscopic removal for choledocholithiasis. Methods Thirty patients underwent laparoscopic micro-incision of cystic duct confluence combined with choledocho-scopic removal for choledocholithiasis. The efficacy and safety were evaluated in all patients. Results The success rate of operation, duration of operation and length of hospital stay were 100%, (82.65±3.63) minutes and(2.75±1.12)days, respectively. No patients had serious complications.Patients were followed up for 10-12 months and showed good general condition and diet situation. No calculus recurrence and biliary stricture occurred in all patients. Conclusion Laparoscopic micro-incision of cystic duct confluence combined with choledochoscopic removal is effective for choledocholithiasis.