胆囊切除术治疗有症状的胆石症患者的前景较好。先接受内窥镜逆行性胰胆管造影 (ERCP) 和胆道括约肌切开取石术,然后进行胆囊切除术,对于治疗胆总管结石患者也具有良好前景。
复发性胆总管病变
复发性胆总管病变的常见危险因素是胆管扩张至>15 mm、壶腹周围憩室、棕色素结石或胆囊保持完整。[69]Costamagna G, Tringali A, Shah SK. Long-term follow-up of patients after endoscopic sphincterotomy for choledocholithiasis and risk factors for recurrence. Endoscopy. 2002 Apr;34(4):273-9.http://www.ncbi.nlm.nih.gov/pubmed/11932781?tool=bestpractice.com[70]Sugiyama M, Atomi Y. Risk factors predictive of late complications after endoscopic sphincterotomy for bile ducts stones: long-term (more than 10 years) follow-up study. Am J Gastroenterol. 2002 Nov;97(11):2763-7.http://www.ncbi.nlm.nih.gov/pubmed/12425545?tool=bestpractice.com[71]Sugiyama M, Suzuki Y, Abe N, et al. Endoscopic retreatment of recurrent choledocholithiasis after sphincterotomy. Gut. 2004 Dec;53(12):1856-9.http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=15542528http://www.ncbi.nlm.nih.gov/pubmed/15542528?tool=bestpractice.com