逆行胰胆管造影联合内镜与腹腔镜联合胆道镜治疗单纯胆总管结石的临床效果(2)
[Key words] Choledocholithiasis; Laparoscopic common bile duct exploration; Endoscopic retrograde cholangiopancreatography/endoscopic sphincterectomy; Minimally invasive treatment随着腔镜及内镜技术在胆道微创外科的广泛应用,胆总管结石由传统开腹胆总管切开取石+胆囊切除+T管引流术,转变为经内镜或腔镜联合下取石手术。目前最常用的微创手术方式有两种,一种是内镜逆行胰胆管造影(endoscopic retrograde cholangiopancreatography,ERCP)+乳头括约肌切开术(endoscopic sphincterectomy,EST),另一种是腹腔镜胆囊切除术(1aparoscopic cholecystectomy,LC)+胆总管切开探查(laparoscopic common bile duct exploration,LCBDE)。以上两种方法符合微创外科理念,但对于单纯胆总管结石患者,两种手术方法各有利弊,究竟采用ERCP好还是LCBDE好 ......
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