Evaluation of Transcystic Common Bile Duct Exploration with Choledochoscope (Report of 68 Cases )_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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冯作忠

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Keywords：

胆道镜,经胆囊管,胆道探查

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【摘要】目的探讨经胆囊管行术中胆道镜胆道探查的临床应用价值。方法对1997年9月至2004年12月期间60例开腹胆囊切除术患者经胆囊管行术中胆道镜胆道探查术，8例腹腔镜下经胆囊管行胆道镜胆道探查术的资料进行回顾性分析。结果所有患者结石清除率为100%，术后平均住院7.2 d。结论在无禁忌证的前提下，无论是开腹还是腹腔镜手术，应首先考虑经胆囊管途径行胆道镜胆道探查取石术。

Citation： 冯作忠. Evaluation of Transcystic Common Bile Duct Exploration with Choledochoscope (Report of 68 Cases ). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(3): 208-209. doi: Copy

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1. Moreaux J. Traditional surgical management of common bile duct stones: a prospective study during a 20-year experience [Ｊ]. Am J Surg， 1995; 169(2)∶220.
2. 薛志祥，刘文勇，姚德成. 术中胆囊管纤维胆道镜检查取代胆总管切开探查 [Ｊ]. 中华外科杂志， 1992； 30（2）∶79.
3. 陈佐会，罗平. 内镜、腹腔镜联合治疗胆囊结石合并胆总管结石（附51例报告） [Ｊ]. 中国普外基础与临床杂志， 2005； 12（6）∶569.
4. Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary sphincterotomy [Ｊ]. N Engl J Med， 1996; 335(13)∶909.
5. Cuschieri A, Croce E, Faggioni A, et al. EAES ductal stone study. Preliminary findings of multi-center prospective randomized trial comparing two-stage vs single-stage management [Ｊ]. Surg Endosc， 1996; 10(12)∶1130.
6. 刘金钢，赵海鹰. 术中胆道镜经胆囊管行胆道探查的临床应用 [Ｊ]. 中国实用外科杂志， 2005； 25（6）∶337.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Evaluation of Transcystic Common Bile Duct Exploration with Choledochoscope (Report of 68 Cases )

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