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学科主题: 临床医学
题名:
Is Oddi sphincterotomy an indication for hepatolithiasis?
作者: Ling, Xiaofeng; Xu, Zhi; Wang, Lixin; Hou, Chunsheng; Xiu, Dianrong; Zhang, Tonglin; Zhou, Xiaosi
关键词: Hepatolithiasis ; Oddi sphincterotomy ; Endoscopic sphincterotomy ; Cholangitis
刊名: SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
发表日期: 2009-10-01
DOI: 10.1007/s00464-008-0304-3
卷: 23, 期:10, 页:2268-2272
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Surgery
研究领域[WOS]: Surgery
关键词[WOS]: CHOLANGIOSCOPIC LITHOTOMY ; STONES
英文摘要:

Background The purpose of treatment for hepatolithiasis is reducing recurrent cholangitis. This study was designed to determine the long-term outcome of Oddi sphincterotomy for hepatolithiasis.

Methods Thirty-two consecutive hepatolithiasis patients, including 15 cases that had undergone conventional open surgical transduodenal sphincteroplasty (COSTS) and 17 cases with endoscopic sphincterotomy (EST), were followed up for a long term. We compared the post-treatment rates of recurrent cholangitis and acute cholangitis severe type (ACST) with the ones of pretreatment in each group, respectively. Paired chi(2) test was used.

Results In the COSTS group, neither the post-operative rate of recurrent cholangitis (86.7%, 13/15 vs. 100%, 15/15) nor ACST (26.7%, 4/15 vs. 46.7%, 7/15) decreased (p > 0.05) compared with before the operation. In the EST group, the situation was the same: neither the rate of post-EST recurrent cholangitis (76.5%, 13/17 vs. 82.4%, 14/17) nor ACST (29.4%, 5/17 vs. 23.5%, 4/17) were reduced significantly (p > 0.05).

Conclusions Both eradication of hepatobiliary lesions and keeping Oddi sphincter intact should be emphasized in the management of hepatolithiasis. Neither COSTS nor EST is an effective method or can achieve the goal of reducing cholangitis for hepatolithiasis.

语种: 英语
WOS记录号: WOS:000270745700015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52474
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: Peking Univ, Dept Surg, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Ling, Xiaofeng,Xu, Zhi,Wang, Lixin,et al. Is Oddi sphincterotomy an indication for hepatolithiasis?[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES,2009,23(10):2268-2272.
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