中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 11
Nov.  2016
Turn off MathJax
Article Contents

Value of cold laser combined with choledochoscopy in treatment of residual stones after biliary surgery

DOI: 10.3969/j.issn.1001-5256.2016.11.027
Research funding:

 

  • Published Date: 2016-11-20
  • Objective To investigate the value of cold laser combined with choledochoscopy in the treatment of residual stones after biliary surgery. Methods A retrospective analysis was performed for the clinical data of 79 patients with residual stones after biliary surgery who were admitted to Fuzhou General Hospital of Nanjing Military Area Command from January 2015 to June 2016. All the patients underwent cold laser combined with choledochoscopy at 6 weeks after surgery. The cure rate and complications were observed. Results All the patients underwent successful lithotripsy,and the cure rate was 100%. Of all the patients,68 did not experience any postoperative complication,7 experienced abdominal distension,abdominal pain,and diarrhea,which achieved spontaneous remission after observation,and 4 experienced fear of cold and chill,which were improved after symptomatic treatment. No patients experienced serious complications,such as bile duct injury,biliary tract perforation,bile leakage,and hematobilia. Conclusion Cold laser combined with choledochoscopy has a good effect,a high level of safety,and good repeatability in the treatment of residual stones after biliary surgery; therefore,it holds promise for clinical application.

     

  • loading
  • [1]CHEN XP.Chirurgery[M].Beijing:People's Medical Publishing House,2005:674.(in Chinese)陈孝平.外科学[M].北京:人民卫生出版社,2005:674.
    [2]HAN Q,DENG HY,ZHUANG LZ,et al.Clinical application of fiber choledochoscope in treatment of retained biliary tract stones:an analysis of 573 cases[J].J Clin Hepatol,2013,29(6):414-417.(in Chinese)韩庆,邓浩源,庄礼钊,等.纤维胆道镜治疗胆道残余结石573例临床分析[J].临床肝胆病杂志,2013,29(6):414-417.
    [3]DEGIRMENCI T,GUNLUSOY B,KOZACIOGLU Z,et al.Comparison of Ho:YAG laser and pneumatic lithotripsy in the treatment of impacted ureteral stones:an analysis of risk factors[J].Kaohsiung J Med Sci,2014,30(3):153-158.
    [4]ZHOU HJ,SHEN B,XIAO WX,et al.Clinical effect of hepalobectomy combined with choledochoscopy in treatment of complex primary intrahepatic bile duct stone[J].J Hepatopancreatobiliary Surg,2016,28(2):133-134.(in Chinese)周海军,沈彬,肖卫星,等.肝叶切除术联合胆道镜治疗复杂原发性肝内胆管结石[J].肝胆胰外科杂志,2016,28(2):133-134.
    [5]CHEN YT,LIN LJ,SHI Z,et al.Clinical application of choledochoscopy in treat ment of postoperative residual bile duct stones[J].Chin J Gen Surg,2009,18(8):779-781.(in Chinese)陈有挺,林丽娟,石铮,等.胆道镜在治疗胆道术后残余结石的应用[J].中国普通外科杂志,2009,18(8):779-781.
    [6]SIONIS S,CARIA RA,TRUCAS M,et al.Sialoendoscopy with and without holmium:YAG laser-assisted lithotripsy in the man-agement of obstructive sialadenitis of major salivary glands[J].Br J Oral Maxil ofac Surg,2014,52(1):58-62.
    [7]HUANG ZQ.Biliary surgery:Intrahepatic bile duct stones[M].Beijing:People's Military Medical Press,2010:129-130.(in Chinese)黄志强.胆道外科手术学:肝内胆管结石[M].北京:人民军医出版社,2010:129-130.
    [8] TONG L,DENG XP,XIE K,et al.Reasons and prognosis of multiple-operations for intra-and extrahepatic cholangiolithiasis[J].Chin J Digest Surg,2016,15(4):368-373.(in Chinese)童里,耿小平,谢坤,等.肝内外胆管结石多次手术原因及预后分析[J].中华消化外科杂志,2016,15(4):368-373.
    [9]DAI JS,DENG ZB,YAN DG,et al.Experience in diagnosis and treatment of residual stones after biliary surgery:an alalysis of 261 cases[J].J Hepatopancreatobiliary Surg,2015,27(4):318-320.(in Chinese)代劲松,邓志波,颜登高,等.胆道术后残余结石261例诊疗体会[J].肝胆胰外科杂志,2015,27(4):318-320.
    [10]MULTESCU R,GEAVLETE B,GEORGESCU D,et al.Holmium laser intrarenal lithotripsy in pyelocaliceal lithiasis treatment:to dust or to extractable fragments?[J].Chirurgia(Bucur),2014,109(1):95-98.
    [11]HE XD,LIU QF.Diagnosis and treatment of hepatolithiasis[J].Chin J Dig Surg,2015,14(4):275-279.(in Chinese)何小东,刘乔飞.肝胆管结石病的诊断与治疗[J].中华消化外科杂志,2015,14(4):275-279.
    [12]BUTT Z,HYDER Q.Cholelithiasis in hepatic cirrhosis:evaluating the role of risk factors[J].J Pak Med Assoc,2010,60(8):641-644.
    [13] XIAO XL,ZHOU L,ZHONG DW,et al.Clinical effect of choledochoscopy combined with holmium laser lithotripsy in the treatment of hepatolithiasis[J].China Modern Med,2015,22(31):33-35.(in Chinese)肖修林,周林,钟鼎文,等.胆道镜联合钬激光碎石术治疗肝内胆管结石效果分析[J].中国当代医药,2015,22(31):33-35.
    [14]BADER MJ,GRATZKE C,HEEHT V,et al.Impact of collateral damage to endourologic tools during laser lithotripsy--in vitro comparison of three diferent clinical laser systems[J].J Endourol,2011,25(4):667-672.
    [15]LIU F,JIN ZD,ZOU DW,et al.Efficacy and safety of endoscopic biliary lithotripsy using FREDDY laser with a radiopaque mark under fluoroscopic guidance.[J].Endoscopy,2011,43(11):918-921.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2093) PDF downloads(451) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return