The cost-benefit analysis of magnetic resonance cholangiopancreatography before laparoscopic cholecystectomy in cholecystolithiasis patients unsuspected choledocholithiasis
10.3760/cma.j.issn.1673-4904.2013.35.006
- VernacularTitle:非可疑胆总管结石的胆囊结石患者腹腔镜胆囊切除术术前行磁共振胰胆管造影费用效益分析
- Author:
Zhiqiang LIU
;
Yan SUN
- Publication Type:Journal Article
- Keywords:
Common bile duct stones;
Gallstone;
Cholangiopancreatography,magnetic resonance;
Cost-benefit analysis
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(35):17-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the cost-benefit analysis of magnetic resonance cholangiopancreatography (MRCP) before laparoscopic cholecystectomy (LC) in cholecystolithiasis patients unsuspected choledocholithiasis.Methods The clinical data of 960 cholecystolithiasis patients unsuspected choledocholithiasis were retrospectively analyzed.The patients were divided into MRCP group (665 cases) and non-MRCP group (295 cases) according to the application of MRCP or not before LC.The total hospitalization expense,missing diagnosis rate of postoperative choledocholithiasis,secondary admission rate,hospitalization time and intraoperative bile duct injury between the 2 groups were compared.Results There were no statistical differences in total hospitalization expense and hospitalization time between the 2 groups (P ＞ 0.05).The missing diagnosis rate of postoperative choledocholithiasis and secondary admission rate in MRCP group were significantly lower than those in non-MRCP group [0.15％ (1/665) and 0 vs.3.73％ (11/295) and 3.73％ (11/295)],there were statistical differences (P ＜ 0.05).There was no intraoperative biliary tract injury in the 2 groups.Conclusions In terms of cost-benefit analysis,routine MRCP before LC for cholecystolithiasis patients unsuspected choledocholithiasis is benefiting.Routine MRCP before LC could effectively reduce the missing diagnosis of the postoperative choledocholithiasis and the secondary admission rate without increasing the total hospitalization expense of patients.
