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Is Oddi sphincterotomy an indication for hepatolithiasis?
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
2009-10-01
DOI10.1007/s00464-008-0304-3
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
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52474
专题北京大学第三临床医学院_普通外科
作者单位Peking Univ, Dept Surg, Hosp 3, Beijing 100191, Peoples R China
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GB/T 7714
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.
APA Ling, Xiaofeng.,Xu, Zhi.,Wang, Lixin.,Hou, Chunsheng.,Xiu, Dianrong.,...&Zhou, Xiaosi.(2009).Is Oddi sphincterotomy an indication for hepatolithiasis?.SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES,23(10),2268-2272.
MLA Ling, Xiaofeng,et al."Is Oddi sphincterotomy an indication for hepatolithiasis?".SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 23.10(2009):2268-2272.
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