Risk factors for stone recurrence after LCBDE and ERCP for common bile duct stones

doi:10.3969/j.issn.1009-976X.2023.04.012

Abstract

Abstract: Common bile duct stones are one of the most common benign diseases in hepatobiliary surgery and are mostly treated surgically, with a recurrence rate of 4%-25% after surgery. In recent years, the recurrence rate has been on the rise. Therefore, preventing the recurrence of common bile duct stones after surgery and understanding their risk factors becomes a problem that clinicians must address. Endoscopic retrograde cholangiopancreatography （ERCP） and laparoscopic common bile duct exploration （LCBDE） have become the most common surgical treatment for common bile duct stones. The two procedures have similarities and differences in the risk factors for stone recurrence. And the causes of stone recurrence are not due to a single factor, but to a combination of factors. This paper aims to investigate how to minimize the probability of stone recurrence from the surgeon′s point of view and provide a reference for clinicians by synthesizing the differences in risk factors for stone recurrence after two types of surgery at home and abroad.

Key words: LCBDE, ERCP, common bile duct stones, recurrence factors

摘要： 胆总管结石是肝胆外科最常见的良性疾病之一,多以外科手术治疗为主,术后的复发率为4%~25%。近年来,复发率有上涨的趋势,因此,防止胆总管结石术后复发并了解其危险因素就成为了临床医师必须要解决的问题。经内镜逆行胰胆管造影胆管取石术（ERCP）以及腹腔镜下胆总管探查取石术（LCBDE）已经成为胆总管结石的最常用外科治疗手段。两种术式的结石复发危险因素存在相同点,也存在不同点,同时影响结石复发的原因并不是单一因素所致,而是多因素共同作用导致的。本文通过综合分析国内外有关两种术式术后结石复发危险因素的不同,旨在从外科医师的角度上探究如何最大程度上降低结石复发的概率,为临床医师提供参考。

关键词: LCBDE, ERCP, 胆总管结石, 复发因素

CLC Number:

R657.4

LI Peng-cheng, YU Han-xiang, TUO Hong-fang, WEN Jun-ye, WANG Chao-chao. Risk factors for stone recurrence after LCBDE and ERCP for common bile duct stones[J]. Lingnan Modern Clinics In Surgery, 2023, 23(04): 353-359.

李鹏成, 于瀚翔, 脱红芳, 温军业, 王超超. LCBDE及ERCP治疗胆总管结石后结石复发风险因素[J]. 岭南现代临床外科, 2023, 23(04): 353-359.

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