老年人胆囊结石并胆总管结石的腹腔镜联合十二指肠镜治疗

目的:探讨老年人胆囊结石合并胆总管结石的腹腔镜联合十二指肠镜的微创治疗效果。方法:对20例胆囊结石合并胆总管结石,经逆行胰胆道造影(ERCP);行oddi's括约肌切开(EST)取石;鼻胆管引流术。于术后行腹腔镜胆囊切除术(LC)。并观察其治疗效果。结果:十二指肠镜下胆总管结石取石成功率95％(19/20),LC成功率100％(19/19),住院日3-12d,无住院死亡,无胆瘘、腹腔脓肿、重症胰腺炎及结石残留等并发症出现。结论:腹腔镜联合十二指肠镜治疗老年人胆囊结石并胆总管结石是一种安全有效、微创的治疗方法。

Treatment for old-age cholelithiasis with choledocholith by laparoscope and duodenoscope

Objective :To investigate the microinvasive effect on old-age cholelithiasis with choledocholith by la-paroscope and duodenoscope. Methods: 20 old-age cholelithiasis with choledocholith patients were performed endoscopic retrograde cholangiopancreatography, oddisphincterotomy to take out of stone and noseobile duct draining. Then they were performed laparoscopic cholecystectomy. Obsene the effect. Results: Choledocholith of 95% patients( 19/20) were taken out with duodenoscope. Rate of success of patients with LC was 100% (19/19). Hospitalization days ranged from 3 to 12. There were no death during hospitalization, bile duct fistula, abdominal abscess, serious pancreatitis, remain stone and other complication.Conclusions:It is a safe and effective and microinvasive therapy of old-age cholelithiasis with choledocholith by laparoscope and duodenoscope.