Clinical efficacy of comprehensive treatment for the patients undergoing choledochoscopic gallbladder-preserving operation
10.3760/cma.j.issn.1673-4203.2013.01.012
- VernacularTitle:纤维胆道镜下微创保胆手术综合治疗胆囊结石患者的疗效分析
- Author:
Sangui WANG
;
Xiao TIAN
;
Tingshan LI
;
Xiaoling ZHANG
;
Xiyin YE
;
Zhiyuan JIANG
;
Yanmin LIU
- Publication Type:Journal Article
- Keywords:
Cholecystolithiasis;
Surgical procedures;
minimally invasive;
Combined modality therapy;
Cholecystolithotomy;
Gallbladder-preserving
- From:
International Journal of Surgery
2013;(1):36-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of choledochoscopic gallbladder-preserving cholecystolithotomy combined with traditional Chinese medicine treatment.Methods A randomized controlled clinical study was conducted to analyze the 91 patients who were treated with choledochoscopic gallbladder-preserving cholecystolithotomy and 92 patients who underwent the same operation combined with subsequent treatment of traditional Chinese medicine.Intraoperative,postoperative and follow-up data were compared between the 2 groups (including operation time,blood loss,the rate of biliary fistula and common bile duct injury during the operation,gallbladder contraction function,the recurrence rate of gallstone,etc).Results In the simple choledochoscopic gallbladder-preserving cholecystolithotomy group,rate of gallstone recurrence was 7.7％ (7/91),the gallbladder wall was (3.5 ±0.6) mm,the gallbladder contraction function was (34.0 ± 3.6)％.However,the comprehensive treatment group,the rate of gallstone recurrence was 1.1％ (1/92),the gallbladder wall was(2.5 ±0.5) mm,the gallbladder contraction function was(48.0 ±4.5)％.There were significant differences between the two groups respectively (P ＜ 0.01,respectively).Conclusion Choledochoscopic gallbladder-preserving cholecystolithotomy combined with traditional Chinese medicine treatment is a safe,feasible,and minimal invasive approach for gallstone,and it can be considered as a alternative treatment of gallstone.
