CAJ | 학술논문

目的探讨腹腔镜、胆道镜、十二指肠镜联合技术在胆系结石的运用.方法回顾分析2005年5月至2011年5月间联合腹腔镜、十二指肠镜和胆道镜处理胆囊结石合并胆总管结石125患者的临床资料.结果125例成功采用“三镜”联合技术完成治疗.乳头括约肌切开取石+腹腔镜胆囊切除组55例;腹腔镜胆囊切除+腹腔镜胆总管探查术组50例,留置“T”管28例,胆总管一期缝合22例;乳头括约肌切开取石+腹腔镜胆囊切除+腹腔镜胆总管探查术组20例.无中转开腹病例.结论“三镜”联合方案具有患者损伤小、痛苦少、康复快等优点,提高了胆系结石微创治疗的成功率.
목적탐토복강경、담도경、십이지장경연합기술재담계결석적운용.방법회고분석2005년5월지2011년5월간연합복강경、십이지장경화담도경처리담낭결석합병담총관결석125환자적림상자료.결과125례성공채용“삼경”연합기술완성치료.유두괄약기절개취석+복강경담낭절제조55례;복강경담낭절제+복강경담총관탐사술조50례,류치“T”관28례,담총관일기봉합22례;유두괄약기절개취석+복강경담낭절제+복강경담총관탐사술조20례.무중전개복병례.결론“삼경”연합방안구유환자손상소、통고소、강복쾌등우점,제고료담계결석미창치료적성공솔.
Objective To summarize the method and results which combined with laparoscopy,choledochoscopy,and duodenoscopy for biliary stones. Methods From May 2005 to May 2011,the clinical data of 125 cases of biliary stones which treated by combining with laparoscopy,choledochoscopy,and duodenoscopy was retrospectively analyzed. Results 125 patients were all cured. 55 cases,50 cases,and 20 cases were treated by laparoscopy combined with duodenoscopy, laparoscopy combined with choledochoscopy,laparoscopy combined with duodenoscopy and choledochoscopy,respectively. There were no convertion to laparotomy. Conclusions These modalities have the advantages of microinvasive,and rapid recovery. The success rate of treatment of cholangiolithiasis is improved by the combination of these modalities of treatment..