腹腔镜胆囊切除术和胆总管探查治疗胆囊胆总管结石:我们如何做(附视频)

Q4 Medicine

Surgery, Gastroenterology and Oncology Pub Date : 2023-01-01 DOI:10.21614/sgo-599

Sara Castanheira Rodrigues, Rui Mendes Costa, Catarina Pestana Muller, Luis Graca, Elisabete Barbosa

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引用次数: 0

摘要

背景:8-20%的胆囊结石患者发生胆总管结石。所有有症状性胆囊结石疾病的患者都应评估是否有同步胆管结石。当与症状性胆囊结石疾病同时发生时，两者的适应症是明确的。最常见的治疗选择是单阶段入路(SSA)联合腹腔镜胆囊切除术和胆总管探查(CBD)或两阶段入路(TSA)联合术前或术后ERCP(内镜逆行胆管胰管造影)和腹腔镜胆囊切除术。随着外科医生对先进腹腔镜手术经验的增加，SSA越来越受到重视。

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Laparoscopic Cholecystectomy and Common Bile Duct Exploration for Cholecystocholedocholithiasis Treatment: How We Do It (with video)

Background: Choledocholithiasis occurs in 8–20% of patients with gallbladder stones. All patients with symptomatic gallbladder stone disease should be assessed for synchronous choledocholithiasis. When synchronous to symptomatic gallbladder stones disease, indication for treating both is clear. The most common treatment options are single-stage approach (SSA) with laparoscopic cholecystectomy and common bile duct (CBD) exploration or two-stage approach (TSA) combining pre- or post-operative ERCP (endoscopic retrograde cholangio-pancreatography) and laparoscopic cholecystectomy. SSA is gaining emphasis as surgeons’ experience with advanced laparoscopic procedures increases.

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来源期刊

Surgery, Gastroenterology and Oncology Medicine-Gastroenterology

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.