文档介绍：研究生论文翻译文章来源: THE LANCET. Vol. 351. January 17, 1998 Department of Surgery, Gastrointestinal { 胃肠的} Unit, Norfolk and Norwich NHS Trust Hospital, Norwich NR1 3SR, UK (M Rhodes FRCS, L Sussman FRCS, L Cohen FRCS, MP Lewis FRCS) Randomised trial of laparoscopic exploration mon bile duct versus postoperative endoscopic retrograde cholangiography mon bile duct stones 胆总管腹腔镜探查术与术后内镜逆行胆管造影治疗胆总管结石的随机比较试验 Summary 摘要 Background: The management of stones in mon bile {胆} duct in the laparoscopic era { 腹腔镜时代} is controversial. The three major options are preoperative endoscopic { 内窥镜} retrograde { 逆行} cholangiography (ERCP), laparoscopic exploration of mon bile duct (LECBD), or postoperative { 术后} ERCP. (注意时态) 背景: 在腹腔镜时代, 处理胆总管结石是有争议的。三种主要选择是: 术前内镜逆行胆管造影( ERCP ) ,腹腔镜胆总管探查术( LECBD ) , 或术后内镜逆行胆管造影。 Methods: Between August, 1995, and August, 1997, 471 laparoscopic cholecystectomies { 腹腔镜胆囊切除术} were done in our department. In 427 (91%), satisfactory preoperative { 术前} cholangiography { 胆总管造影} was obtained. In 80 (17%) of these cases there were stones in mon bile duct. 40 patients were randomised { 随机} to LECBD and 40 to postoperative ERCP. If LECBD failed, patients had either open exploration of mon bile duct or postoperative ERCP. If one postoperative ERCP failed, the procedure was repeated until mon bile duct was cleared of stones or an endoprosthesis { 内置镜} was placed to prevent stone impact