结石

All the 47 patients with choledocholithiasis were cured successfully, among them 31 patients were performed with ERCP and 16 were re-operated on with cholangiotomy.

除3例右半结肠癌行根治性切除外，另6例已不能行根治性手术。47例胆管残留结石均治愈，其中31例经ERCP取石，16例行开腹胆道探查。

Results:Four of five patients with preoperative diagnosed choledocholithiasis were successfully treated by ERCP at first,then underwent LC.

结果：术前明确胆总管结石5例中4例先行术中ERCP取石，取石成功后再行LC；余11例先行LC，继而行ERCP取石。

Results Five studies(n=325)in which the diagnostic ability of EUS and ERCP had been prospectively compared in patients with a suspicion of choledocholithiasis were collected.

螺旋CT作为新的非侵入性的方法也被应用于胰胆管系统疾病的诊断，但其结果可靠性较差[6，7]；术中胆道造影和ERCP一样也被认为是诊断胆总管结石的金标准，但是在行腹腔镜下胆囊切除术时行该操作十分困难，无法成为常规检查。

If patients are suitable,laparoscopic choledocholithotomy is safe and effective in the hands of skilled endoscopiests.

只要选择合适的病例，腹腔镜胆总管切开取石术治疗细径胆总管结石是可行、有效和安全的。

Objective:To explore the clinical application value of outward drawstring in allied application of laparoscopic and choledochoscopic in choledocholithotomy.

来源：中国论文下载中心 [ 08-07-31 11：50：00 ] 作者：陈超，厉彦卓，郭江英编辑：studa20 目的：探讨外置牵引线腹腔镜联合纤维胆道镜治疗胆总管结石的临床应用价值。

The outward draw string combine with laparoscopic and choledochoscopic choledocholithotomy is a minimal invasion,safe,dependable and effective methods with convenient operation and good curative effect.

外置牵引线腹腔镜联合纤维胆道镜治疗胆总管结石是一种微创、安全、可靠、有效的新技术，操作方便，疗效明显。

The outward drawstring combine with laparoscopic and choledochoscopic choledocholithotomy is a minimal invasion,safe,dependable and effective methods with convenient operation and good curative effect.

外置牵引线腹腔镜联合纤维胆道镜治疗胆总管结石是一种微创、安全、可靠、有效的新技术，操作方便，疗效明显。

Methods:Fifty patients with common duct stones that underwent choledocholithotomy by laparoscopy and choledochoscopy with outward drawstring were researched.

于腹腔镜下外置胆总管牵引线胆总管切开纤维胆道镜取石，治疗胆总管结石50例。

Methods:Fifty patients with common duct stones that underwent choledocholithotomy by laparoscopy and choledochoscopy with outward draw string were researched.

于腹腔镜下外置胆总管牵引线胆总管切开纤维胆道镜取石，治疗胆总管结石50例。

Laparoscopic choledocholithotomy Ttube drainage was performed in 491 cases,all 11 cases of bile leakage were cured conservatively.173 cases were treated by transcystic duct exploration,and were cured conservatively,173 cases were treated by transcystic common bile duct exploration,and there were no complications.

完成491例腹腔镜胆总管切开纤维胆道镜取石，&T&管引流术（laparoscopic choledocholithotomy Ttube drainage，LCTD），出现胆漏11例，经保守治疗治愈。173例经过胆囊管取出胆总管结石，无并发症发生。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。