CAJ | 학술논문

目的：探讨内镜下Oddi括约肌切开取石术（endoscopic sphincterotomy，EST）联合腹腔镜胆囊切除术（lapanroscopic cholecystectomy，LC）治疗胆囊结石合并继发性胆管结石的疗效。方法：对21例胆囊结石合并继发性胆管结石患者先行EST术，再行LC术。结果：21例均完成EST和LC术，其中1例患者LC术后经胆道造影见胆总管结石残留，再次行EST术。结论：EST联合LC治疗胆囊结石合并继发性胆管结石是一种安全有效的微创治疗模式。
목적：탐토내경하Oddi괄약기절개취석술（endoscopic sphincterotomy，EST）연합복강경담낭절제술（lapanroscopic cholecystectomy，LC）치료담낭결석합병계발성담관결석적료효。방법：대21례담낭결석합병계발성담관결석환자선행EST술，재행LC술。결과：21례균완성EST화LC술，기중1례환자LC술후경담도조영견담총관결석잔류，재차행EST술。결론：EST연합LC치료담낭결석합병계발성담관결석시일충안전유효적미창치료모식。
Objective:To investigate the efficacy of endoscopic sphincterotomy(EST)combined with lapanroscopic cholecystectomy (LC)in treating cholecystolithiasis with secondary biliary calculi. Methods:EST was performed first in 21 cases of cholecystolithiasis with secondary choledocholithiasis patients, then LC operation. Results: All 21 cases completed EST and LC operation; one of them who had made LC operation was found residual bile duct stones in cholangiography, and then was carried out EST operation. Conclusion: EST combined with LC in treating cholecystolithiasis with secondary biliary calculi is a safe and effective minimally invasive treatment mode.