Different methods of laparoscopic common bile duct exploration for extrahepatic bile duct stones
10.3760/cma.j.issn.1007-8118.2013.08.009
- VernacularTitle:不同方式腹腔镜胆道探查术治疗肝外胆管结石的临床研究
- Author:
Xiaodong TANG
;
Shuanghai LIU
;
Jian JIANG
;
Yifu ZHOU
;
Sheng CHEN
;
Zhenguo ZHAO
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Cholecystectomy,laparoscopic
- From:
Chinese Journal of Hepatobiliary Surgery
2013;19(8):589-592
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy and safety of three different methods of laparoscopic common bile duct exploration (LCBDE).Methods The clinical data of patients with LCBDE treated in our hospital by the same surgeon from January 2010 to December 2012 were retrospectively analyzed.These patients were divided into three groups according to the 3 surgical methods:Group A:15 patients were treated with laparoscopic transcystic common bile duct exploration (LTCBDE).Group B:85 patients were treated with laparoscopic common bile duct exploration followed by primary duct closure (LCBDEPDC).Group C:20 patients were treated with laparoscopic common bile duct exploration and T tube drainage (LCBDE-TD).The study measured the TBIL,inner diameter of common bile duct,costs,length of operation,postoperative hospital stay,peritoneal drainage time,and operation-related complications.Results The operations were successfully carried out in the 3 groups of patients.When compared with group C,group A and group B had significantly shorter operative time,shorter postoperative hospital stay,shorter peritoneal drainage time,lower hospital costs,and earlier return to work (P＜0.05).The only significant difference between group A and group B was the peritoneal drainage time.There was no significant difference in the incidences of postoperative complications between the 3 groups (P＞0.05).Conclusions The three different methods of LCBDE had their own indications.LTCBDE was better than primary suture,and LCBDEPDC was better than T-tube drainage after laparoscopic common bile duct exploration.
