Laparoscopic cholecystectomy plus exploration of the common bile duct in comparison with laparoscopiccholecystectomyandendoscopicsphincterotomyforsecondary choledocholithiasis
10.3760/cma.j.issn.1007-631X.2011.09.009
- VernacularTitle:腹腔镜胆囊切除胆道探查取石术与内镜下Oddi括约肌切开取石联合腹腔镜胆囊切除术的疗效比较
- Author:
Chunju ZHANG
;
Yuan LIU
;
Yong WANG
;
Jingang LIU
;
Haiying ZHAO
- Publication Type:Journal Article
- Keywords:
Choledocholithiasis;
Cholecystectomy,laparoscopic;
Sphincterotomy,endoscopic
- From:
Chinese Journal of General Surgery
2011;26(9):736-738
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the effects between laparoscopic cholecystectomy (LC) +laparoscopic common bile duct exploration(LCBDE) and endoscopic sphincterotomy(EST) + laparoscopic cholecystectomy( LC ) for secondary choledocholithiasis.MethodsThe clinical data of patients with secondary choledocholithiasis receiving LC + LCBDE or EST + LC from January 2008 to December 2009 were retrospectively compared. Parameters included operation time, postoperative complication, length of stay,cost of hospitalization. All patients received follow up of 1 year. Enumeration data was analyzed by chisquare test and measurement data was analyzed by t test.ResultsIn this study 87 patients received LC +LCBDE,76 patients received EST + LC.Patients in LC + LCBDE group had shorter hospital stay, less hospital charges and less complications. There was not difference in the procedure success rate and stone remanent rate between the two groups.ConclusionsLC + LCBDE could be used as the first choice for patients with gallstones and secondary choledocholithiasis.
