外科理论与实践 ›› 2021, Vol. 26 ›› Issue (05): 437-440.doi: 10.16139/j.1007-9610.2021.05.015
收稿日期:
2021-01-05
出版日期:
2021-09-25
发布日期:
2022-07-22
通讯作者:
黄侠
E-mail:xhuangshanghai@163.com
基金资助:
Received:
2021-01-05
Online:
2021-09-25
Published:
2022-07-22
Contact:
HUANG Xia
E-mail:xhuangshanghai@163.com
摘要:
目的:探讨比较腹腔镜胆囊切除术(laparoscopic cholecystectomy, LC)联合内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography, ERCP)一期治疗胆囊结石合并肝外胆管结石与分期手术的临床疗效。方法:本院2018年4月至2020年4月期间收治的191例胆囊结石合并肝外胆管结石的病人分为两组,98例行LC联合一期ERCP取石(研究组);93例行ERCP取石+择期LC(对照组)。比较两组的手术时间、术中出血量、术后住院时间、手术成功率、并发症发生以及住院费用。结果:与对照组相比,研究组手术时间、术后住院时间、住院费用均明显降低(P<0.05),术中出血量、手术成功率和术后并发症发生率差异无统计学意义(P>0.05)。结论:LC联合ERCP取石一期治疗胆囊结石合并肝外胆管结石安全可行,具有手术时间短、术后住院时间短、住院费用低的优点。
中图分类号:
胡刚峰, 黄侠. LC联合ERCP一期治疗胆囊结石合并肝外胆管结石与分期ERCP+LC手术疗效比较[J]. 外科理论与实践, 2021, 26(05): 437-440.
HU Gangfeng, HUANG Xia. Comparison of surgical efficiency of laparoscopic cholecystectomy and ERCP in treatment of cholecystolithiasis and choledocholithiasis between one stage approach and two stage procedure[J]. Journal of Surgery Concepts & Practice, 2021, 26(05): 437-440.
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