基于复合手术室的内镜逆行胰胆管造影术联合腹腔镜胆囊切除术同期治疗胆囊结石合并胆总管结石的效果

Effect of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy one-stage approach based on hybrid operating room for the treatment of gallstones combined with calculus of common bile duct

摘要:

目的 探讨在复合手术室中运用内镜逆行胰胆管造影术（ERCP）联合腹腔镜胆囊切除术（LC）同期治疗胆囊结石合并胆总管结石的临床疗效。方法 回顾性分析该院21例胆囊结石合并胆总管结石患者的临床资料，先在全凭静脉麻醉或静脉-吸入复合麻醉下完成ERCP胆管取石，接着完成LC。结果 18例顺利完成ERCP联合LC同期治疗，3例改行腹腔镜下胆总管切开探查术（LCBDE），无中转剖腹手术，术后并发高淀粉酶血症8例，无胰腺炎、消化道出血和穿孔等严重并发症。结论 复合手术室中运用ERCP联合LC同期治疗胆囊结石合并胆总管结石，简化了手术流程，是安全、可行的。

Abstract:

Objective To investigate the use of endoscopic retrograde cholangiopancreatography (ERCP) combined with laparoscopic cholecystectomy (LC) one-stage approach in the treatment of gallstones complicated with calculus of common bile duct in a hybrid operating room.Methods 21 patients with gallstones complicated with calculus of common bile duct were selected to undergoing ERCP bile duct stone removal under total intravenous anesthesia or combined intravenous and inhalation anesthesia, followed by LC.Results 18 successfully completed the one-stage surgery of ERCP combined with LC, 3 were changed to laparoscopic common bile duct exploration (LCBDE), there was no laparotomy, 8 cases were complicated by hyperamylemia after surgery, and there were no serious complications such as pancreatitis, gastrointestinal bleeding and perforation.Conclusion It is safe and feasible to use ERCP combined with LC one-stage approach to treat gallstones complicated with calculus of common bile duct in the hybrid operating room, which simplifies the surgical process.