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首页> 外文会议>Japan-Sino workshop on endoscopy and gastroenterology >THE COMBINATION OF DUODENOSCOPY, CHOLEDOCHOSCOPY AND LAPAROSCOPY IN TREATING EXTRAHEPATIC CHOLEDOCHOLITHIASIS
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THE COMBINATION OF DUODENOSCOPY, CHOLEDOCHOSCOPY AND LAPAROSCOPY IN TREATING EXTRAHEPATIC CHOLEDOCHOLITHIASIS

机译：十二指肠镜，胆囊镜和腹腔镜联合治疗肝外胆石症

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To explore the method of applying combined endoscopies and laparoscopy to extract common bile duct (CBD) stones that failed to respond to ordinary endoscopic sphincterotomy (EST). Methods: Sixty-nine patients were admitted to have the therapeutical procedures, i. e. endoscopic nasobiliary drainage (ENBD) was first adopted,then followed by laparoscopic common bile duct exploration (LCBDE), and finally operational choledochoscopy was used to clear the stones. Results: Satisfactory outcome was realized: neither converted to laparotomy, or risdual stones was left, nor serious after-effect observed. The time taken for the endoscopy was remaining the same as that for open choledocholithotomy, while postoperative hospitalization period of the former shortened obviously than that of the latter. None of the complications could be traced among most patients' follow-up for 6 - 15 months. Conclusion: The combined laparoscopy and endoscopies is practicable and safe in the hands of skillful endoscopists, this programme is able to substitute some open choledocholithotomy.
机译：探索结合内镜和腹腔镜检查法提取对普通内镜括约肌切开术（EST）没有反应的胆总管（CBD）结石的方法。方法：69例患者接受了治疗程序，即e。首先采用内镜鼻胆管引流术（ENBD），然后进行腹腔镜胆总管探查术（LCBDE），最后采用手术胆道镜清除结石。结果：令人满意的结果：既没有转换为剖腹手术，也没有留下遗留的结石，也没有观察到严重的后遗症。内镜检查的时间与开腹胆囊切除术相同，而前者的术后住院时间明显短于后者。在大多数患者的6到15个月的随访中，均未发现任何并发症。结论：腹腔镜和内窥镜检查相结合在熟练的内镜医师的手中是切实可行和安全的，该程序可以替代一些开放的胆总管切开取石术。

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