Effects of emergency laparotomy for acute obstructive suppurative cholangitis calculus

VernacularTitle:急诊开腹手术治疗结石急性梗阻化脓性胆管炎
Author: Haisheng WANG
Publication Type:Journal Article
Keywords: Cholangitis; Common bile duct caculi; Operation; Emergency
From: Chinese Journal of Primary Medicine and Pharmacy 2014;21(8):1167-1169
CountryChina
Language:Chinese
Abstract: Objective To compare the effect of emergency abdominal surgery and emergency endoscopic treatment of acute obstructive suppurative cholangitis stone.Methods A retrospective analysis of acute obstructive suppurative cholangitis stones were carried out within 30 cases.Among them,15 patients underwent emergency laparotomy choledocholithotomy + T-tube drainage,15 underwent routine emergency laparotomy choledocholithotomy + T tube drainage and cholecystectomy.Results All patients were successfully implemented treatment.In resection group,blood loss was (128.32 ±46.17) mL,with average length of stay (7.3 ±3.6) days.Blood loss was significantly higher than the amount retained (148.13 ± 2.07) mL(t =13.75,P ＜ 0.05) ; average length of stay (8.5 ± 2.9) days (t =8.73,P ＜ 0.05),the difference was statistically significant.Conclusion Emergency laparotomy choledocholithotomy + T tube drainage and cholecystectomy is not superior efficacy of emergency laparotomy choledocholithotomy + T tube drainage treatment.