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| 1 | Single-session minimally invasive management of common bile duct stones显示文摘Up to 18% of patients submitted to cholecystectomy had concomitant common bile duct stones.To avoid serious complications,these stones should be removed.There is no consensus about the ideal management strategy for such patients.Traditionally,open surgery was offered but with the advent of endoscopic retrograde cholangiopancreatography(ERCP) and laparoscopic cholecystectomy(LC) minimally invasive approach had nearly replaced laparotomy because of its well-known advantages.Minimally invasive approach could be done in either twosession(preoperative ERCP followed by LC or LC followed by postoperative ERCP) or single-session(laparoscopic common bile duct exploration or LC with intraoperative ERCP).Most recent studies have found that both options are equivalent regarding safety and efficacy but the singlesession approach is associated with shorter hospital stay,fewer procedures per patient,and less cost.Consequently,single-session option should be offered to patients with cholecysto-choledocholithiaisis provided that local resources and expertise do exist.However,the management strategy should be tailored according to many variables,such as available resources,experience,patient characteristics,clinical presentations,and surgical pathology. | Ahmed Abdel Raouf ElGeidie | 2014 | World Journal of Gastroenterology2014，20，41： | 12 |
| 2 | 两镜联合治疗肝外胆道结石的应用进展显示文摘肝外胆管结石是临床常见的胆道疾病,是指结石位置在一级胆管以下的胆管,如肝总管、胆总管、壶腹部及胆囊管等,其中胆囊结石及胆总管结石是最常见的肝外胆管结石,胆囊结石、胆总管结石是胆道外科的常见病和多发病。大约有10~18%胆囊结石病人合并胆总管结石[1]。1肝外胆管结石的手术治疗进展开腹胆囊切除及胆总管探查术是治疗该肝外胆管结石的经典术式。但该术式存在对身体创伤大、恢复慢、 | 王孝益 孙礼侠 | 2015 | 肝胆外科杂志2015，23，6： | 5 |
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