Comparison of Clinical Efficacy of Different Endoscopic Approaches on Treatment of Acute Cholangitis with Bile Duct Stones
- VernacularTitle:不同内镜下治疗急性结石性胆管炎的疗效比较
- Author:
Baoming SONG
1
;
Fang LI
;
Xuzhong LI
;
Yong YAN
;
Lianming ZHOU
;
Yuanzhou SHAN
;
Xueli ZHANG
Author Information
1. 上海市奉贤区中医院普外科
- Keywords:
Cholangitis;
Laparoscope;
Choledochoelectroscope;
Exploration of bile duct;
Endoscopic retrograde cholangiopancreatography
- From:
Chinese Journal of Clinical Medicine
2014;(3):328-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy of laparoscopy-assisted choledochoelectroscopy and endoscopic retrograde cholangiopancreatography on treatment of acute cholangitis with bile duct stones .Methods :The clinical datum of 103 cases of a-cute cholangitis with bile duct stones treated by laparoscopy-assisted choledochoelectroscopy (Group L ,n=64) or endoscopic retrograde cholangiopancreatography (Group E ,n=39) from October 2008 to September 2013 were analyzed retrospectively . In hospital days ,costs ,the rates of residual stones ,the rates of complications and the stone recurrence rates were compared between the two groups .Results:The operation success rates were 96 .25% and 89 .74% ,and hospital days were (9 .6 ± 0 .9) and (8 .3 ± 0 .7) days in Group L and Group E ,respectively ,but had no stastically significant differences (P> 0 .05) .The cost ,the rate of residual stones ,the rates of complications and the stone recurrence rate in Group L were significantly lower than those in Group E (P<0 .05) .Conclusions :Acute cholangitis with bile duct stones can be treated by laparoscopy-assisted choledochoelectroscopy or endoscopic retrograde cholangiopancreatography .However ,the former presents more clinical advan-tages .
