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Application of ERC in patients with gallstones and suspected duct stone before laparoscopic cholecystectomy
Author(s): SUN Yiqun, LIU Jingshu, AI Xuesong, HAN Bing, WANG Baoren
Pages: 334-
335
Year: 2004
Issue:
5
Journal: JOURNAL OF DIGESTIVE SURGERY
Keyword: 腹腔镜胆囊切除术; 逆行性胆管造影; 十二指肠乳头切开;
Abstract: 目的探索ERC+LC对有症状胆囊结石和疑有胆管结石得治疗结果的选择性标准的研究.方法回顾分析2001年11月~2003年10月我科收治的胆石症患者中20例先行ERC再行LC的情况.结果本组病人ERC均获成功,ERCP+EST+ESE共取出结石15例,B超等证实者10例,胆总管直径>8 mm 12例,有黄疸史者11例,肝功能异常者11例,胰腺炎者4例.ERC后平均4.6 d行LC.随访2月~2年未发现胆管残余结石.结论严格掌握LC前行ERC适应症,对于减少不必要ERC率,避免LC后胆管残留结石都具有重要作用.
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