Relaparoscopic common bile duct exploration for management of choledocholithiasis
10.3760/cma.j.issn.1007-8118.2014.04.007
- VernacularTitle:腹腔镜再次胆道手术治疗胆总管结石
- Author:
Kai ZHANG
;
Feng ZHAN
;
Yun ZHANG
;
Zhenghai SHEN
;
Zhenwei SHEN
;
Miao ZHANG
;
Xiaojun YANG
- Publication Type:Journal Article
- Keywords:
Laparoscopy operation;
Open operation;
Reoperation on biliary tract;
Choledocholithiasis
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(4):265-268
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of relaparoscopic common bile duct exploration in choledocholithiasis.Methods 50 patients who underwent LC/OC/LCBDE/OCBDE for biliary surgery with choledocholithiasis were randomized into two groups:Group A (n ＝25) laparoscopic approach and Group B (n =25) open approach.The operation time,hospital stay,cost of hospitalization and postoperative complications were compared.Results There was no significant difference in the operation time,liver functional index,postoperative bile leakage rate and cost of hospitalization between the two groups.The postoperative hospital stay in group A was shorter than that in group B (7.1 ± 1.5 vs 12.4 ±4.3 days,P ＜0.05),as was the volume of intraoperative blood loss (58.3 ± 24.2 ml vs 108.6 ± 35.7 ml,P ＜ 0.05),recovery of gastrointestinal function (26.3 ±3.6 vs 58.2 ±6.3 hours,P ＜0.05),postoperative analgesia (7/25 vs 17/25,P＜0.05) and wound infection rate (1/25 vs 6/25,P＜0.05).Conclusions Relaparoscopic commonbile duct exploration for recurrent choledocholithiasis appeared to be a safe,feasible,and efficacious procedure when carried out by expert laparoscopic surgeons.The procedure is worth promoting.
