Abstract: 【Abstract】〓Objective〓To evaluate the clinical value of cholangioscopy-guided holmium laser lithotripsy for the treatment of pancreatic duct stones (PDSs). Methods〓Cholangioscopy-guided holmium laser lithotripsy was used in 10 patients with PDSs. Pancreato-jejunum Roux-en-Y anastomosis was performed after stone extraction. Results〓All surgical procedures were successfully performed and pancreatic duct stones were removed by the holmium laser. The duration of operation was 30~ 70 min (mean, 45 min). Postoperative recovery was smooth, no abdominal infection, hemorrhage, pancreatic leakage and death of the patient. Follow- up was conducted in all 10 cases for 4-36 months (mean, 11months). B-ultrasonography, abdominal CT and magnetic resonance cholangiopancreatography found no recurrent or residual stones, or pancreatic duct stricture. Conclusion〓Cholangioscopic holmium laser lithotripsy for the treatment of PDSs has advantages of minimal invasion, rapid recovery, satisfactory lithotripsy effects, simplicity of performance, and high reliability.

Key words: Chronic pancreatitis, Pancreatic duct stones, Choledochoscope, Holmium laser

摘要： 【摘要】〓目的〓探讨胆道镜引导下钬激光碎石在治疗胰管结石术中的应用价值。方法〓10例胰管结石病人行胰管切开、胰管空肠Roux-en-Y吻合手术,术中采取胆道镜联合钬激光治疗胰管结石,评价其效果。结果〓10例碎石成功,取石时间30~70 min,平均45 min。术后恢复顺利,无腹腔感染、出血、胰漏及死亡病人。随访4~36月,B超、上腹部CT及MRCP检查, 主胰管未发现结石复发及残留,无胰管狭窄。结论〓胆道镜钬激光治疗胰管结石,具有创伤小、碎石确切、操作容易、安全有效等优点。

关键词: 慢性胰腺炎, 胰管结石, 胆道镜, 钬激光