Clinical analysis on treatment effect of choledocholithotomy by laparoscopy-assisted choledochoelectroscopy and endoscopic retrograde cholangiopancreatography
10.3760/cma.j.issn.1008-6706.2011.09.003
- VernacularTitle:经腹腔镜辅助胆道镜与经内镜十二指肠乳头切开取石治疗胆管结石的临床分析
- Author:
Jiangang CHEN
;
Xueli ZHANG
;
Wenhai HUANG
;
Jianping GU
;
Yuanzhou SHAN
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Choledochoelectroscope;
Cholecystectomy;
Exploration of bile duct;
Endoscopic retrograde cholangiopancreatography
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(9):1158-1160
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical effect of choledocholithotomy by laparoscopy-assisted choledochoelectroscopy and endoscopic retrograde cholangiopancreatography.Methods The clinical data of 126 gallstone and choledocholithiasis patients treated by laparoscopy-assisted choledochoelectroscopy(L group)and endoscopic retrograde cholangiopancreatography(E group)were analyzed retrospectively.In L group,the patients were performed LC and choledocholithotomy by laparoscopy-assisted choledochoelectroscopy directly,but in E group,the treatment procedures were finished by two steps.Firstly,the bile duct stones were carried out by ERCP,days later LC operations were performed.Between the two groups,the hospital days,costs,the rate of residual stone,the rate of bihary infection or panereatitis and the rate of stone recur were compared.Results In the two groups,hospital days were(6.5±0.3)d and(12.5±0.5)d,costs were(1.22±0.17)and(1.98±0.24)ten thousand yuan,the rate of residual stone was 0 and 5.3%,the rate of biliary infection or pancreatitis was 1.4%and 15.8%,and the rate of stone recur was 1.4%and 10.5%respectively.When compared each other the difference was statistically significant(t=2.48,1.96,χ2=4.32,4.90,8.79,all P＜0.05).Conclusion In patients with gallstone and bile duct stones,laparoscopy-assisted choledochoelectroseopy presented more predominances when compared with two steps methods.
