目的 探讨内镜逆行胰胆管造影(ERCP)检查及内镜治疗在腹腔镜胆囊切除(LC)术前、术后的应用价值。
方法 对61例拟行LC的患者术前或术后行ERCP检查，发现异常再行内镜治疗。
结果 LC术前行ERCP者42例中39例显影，其中37例伴有其他胆管疾病，占94.9%。术后行ERCP者19例均显影，总的插管成功率为95.1%。LC术前或术后42例行EST治疗，4例行EPBD，2例行ERBD，15例行ENBD，另4例在行ERCP检查后改开腹手术，取石成功率为92.9%。
结论 诊治性ERCP在LC前、后的应用，对进一步明确诊断、选择手术方式、预防LC的并发症和提高LC的成功率具有重要价值。
Citation：
苏进根,王建平,杨廷燕,陆奕宁. Application of Technique of Duodenoscope Before and after Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(5): 531-532. doi:
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2 黄志强. 黄志强胆道外科手术学 [M]. 北京: 人民军医出版社, 1995∶186~192
3 Hakamada K, Sasaki M, Endoh M, et al. Late development of bile duct cancer after sphincteroplasty: a ten- to twenty-two-year follow-up study [Ｊ]. Surgery, 1997; 121(5)∶488.
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陈训如. 普通外科微创技术应用现状及展望 [Ｊ]. 中国普外基础与临床杂志, 2005； 12(6)∶533.
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Baron TH, Harewood GC. Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP: a metaanalysis of randomized, controlled trials [Ｊ]. Am J Gastroenterol, 2004; 99(8)∶1455.
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秦明放. 内镜腹腔镜联合治疗肝外胆管结石的思考 [Ｊ]. 中国实用外科杂志， 2005； 25（6）∶336.
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- 1. 2 黄志强. 黄志强胆道外科手术学 [M]. 北京: 人民军医出版社, 1995∶186~192
3 Hakamada K, Sasaki M, Endoh M, et al. Late development of bile duct cancer after sphincteroplasty: a ten- to twenty-two-year follow-up study [Ｊ]. Surgery, 1997; 121(5)∶488.
- 2. 陈训如. 普通外科微创技术应用现状及展望 [Ｊ]. 中国普外基础与临床杂志, 2005； 12(6)∶533.
- 3. Baron TH, Harewood GC. Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP: a metaanalysis of randomized, controlled trials [Ｊ]. Am J Gastroenterol, 2004; 99(8)∶1455.
- 4. 秦明放. 内镜腹腔镜联合治疗肝外胆管结石的思考 [Ｊ]. 中国实用外科杂志， 2005； 25（6）∶336.
