对常见胆道结石和胆结石 (CBDS) 的1阶段和2阶段治疗方法的比较:一项回顾性研究
Jie Zhou1, Ye Chen2, Songlin Yu3
1Department of Hematology, Tongji Hospital of Tongji University, Tongji University School of Medicine.
Journal of clinical gastroenterology
|April 22, 2024
概括
腹腔镜常见胆道探索 (LCBDE) 为胆结石和常见胆道结石 (CBDS) 提供了一种安全的,单阶段的治疗方法,与两阶段方法相比,导致住院时间更短,并发症更少.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 手术创新 在外科创新.
- 胆道疾病管理 胆道疾病管理
背景情况:
- 胆结石和常见胆道结石 (CBDS) 需要有效的治疗策略.
- 目前的管理涉及两阶段的方法 (手术前或手术后的内镜逆行胆管瘤学与腹腔镜胆囊切除术) 或单阶段的程序.
研究的目的:
- 为了比较一阶段 (腹腔镜胆囊切除术+腹腔镜普通胆道探索) 与CBDS两阶段管理的疗效,安全性和手术结果.
主要方法:
- 在2019年1月至2021年6月期间接受CBDS治疗的180名患者的回顾性分析.
- 患者被分为三个组:ERCP + LC,LC + ERCP和LC + LCBDE (每组60名患者).
- 对比了临床指标,包括手术持续时间,住院时间,并发症和成本.
主要成果:
- 在LC+LCBDE组中,手术持续时间和住院时间显著缩短.
- 这一组也表现出最少的长期术后并发症,特别是CBDS复发.
- 在LC+LCBDE组中观察到较低的总成本和术后氨酶水平,所有患者的石头清除成功.
结论:
- 一阶段和两阶段的管理策略对于CBDS是有效的.
- 作为一阶段的方法,腹腔镜常见胆管探索 (LCBDE) 是一种安全和有利的选择,与减少住院时间,缩短手术时间,降低成本和更少的并发症有关.
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