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常见胆道结石的治疗性手术治疗:回顾性队列研究

Julien Pouplin¹, Charlotte Maulat¹, Gabriel Yubero²

¹Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France.

World journal of surgery

|February 13, 2024

概括

腹腔镜手术有效地用扩张的CBD去除普通胆道 (CBD) 石头,达到93.1%的成功率. 这种方法提供了可接受的结果,而不需要对CBD石头进行常规的额外内镜手术.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
肝胆道手术肝胆道手术

背景情况:

有症状的普通胆道 (CBD) 结石与CBD扩张往往需要手术干预.
胆固醇切除术与胆固醇切除术相结合是一种主要的治疗方法.
内镜逆行胆血管细胞造影 (ERCP) 通常只用于残留的结石.

研究的目的:

评估腹腔镜治疗CBD石头手术治疗的疗效和结果.
评估与这种手术方法相关的成功率,发病率和死亡率.

主要方法:

回顾性单一中心的队列研究.
包括连续接受腹腔镜胆囊切除术的患者,使用CBD石头和扩张CBD (2010年1月 - 2020年12月).
成功的定义是6周后的CBD清除;重新干预率,并发症和死亡率的评估.

主要成果:

在治疗性腹腔镜治疗中观察到93.1%的成功率 (229/246名患者).
术后立即发病率为24.4%,再干预率为5.3%.
零即时和0.4%的6周术后死亡率;平均逗留时间为11.3天.

结论:

对症状性CBD石头进行 laparoscopic 治愈性手术治疗是有效的.
可以在不需要常规的额外程序的情况下实现可接受的结果.
早期的术后并发症和再入院与治疗失败有关.

关键词:

这是一个T-管.这是一种胆多科托米 (choledocotomy).常见的胆道结石胆道结石治疗性的外科治疗治疗.通过内镜进行透透切除术.

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