Comparism of therapeutic effects between Laparoscopic and open surgery on choledocholithiasis
10.3760/cma.j.issn.1008-6706.2009.08.031
- VernacularTitle:腹腔镜手术与开腹手术治疗胆总管结石的疗效比较
- Author:
Zhilong SUN
;
Jiasheng HE
- Publication Type:Journal Article
- Keywords:
Cholecystectomy;
laparoscopic;
Cholecystectomy;
Choledocholithiasis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(8):1394-1395
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the therapeutic effects of laparoscopic and open surgery treatment for choledocholithiasis.Methods Forty-six cases with choledocholithiasis were randomly divided into laparoscopic surgery group(n = 21)and open surgery group(n = 25).Comparison was conducted between the two groups in terms of operative time,hospitalization day,anorechlnl exhaust time,cases of postoperative pain,the amount of intraoperative bleeding and postoperative complications.Results Hospitalization day(10.5 ±2.4d),anorechlnl exhaust time(27.2 ±9.4h),cases of postoperative pain(28.6%)in the laparoscopic surgery group were significantly better than those in open surgery group(14.3 ±2.5d,54.6 ±12.5h,88.0%)(P ＜0.05).The operative time and the amount of intraoperative bleeding was not significantly different between two groups(P ＞ 0.05).The rate of infection of incisional wound in the laparoscopic surgery group(0%)was lower than that of open surgery group 24.0%(P ＜ 0.05).No residual calculi and bile leakage were found in both groups.The other postoperative complications were not significantly different between the two groups(P ＞ 0.05).Conclusion Laparoscopic choledocholithotomy is safe,effective and feasible.Compare with open surgery,it is a less invasive proceduce for the treatment of choledocholithiasis with the virtue of little trauma,fast recovery,short hospitalization days and few complication.
