Clinical curative effect and operation skill of laparoscope combined with choledochoscope in treatment of cholecystolithiasis and choledocholithiasis
10.3760/cma.j.issn.1673-4904.2015.03.007
- VernacularTitle:腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床疗效及操作技能探讨
- Author:
Jun BAO
;
Dinggang GUO
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Cholecystectomy;
Cholecystolithiasis;
Choledocholithiasis;
Choledochoscope
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(3):178-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate difference of clinical curative effect between laparoscope combined with choledochoscope and traditional laparotomy in treatment of cholecystolithiasis and choledocholithiasis.Methods The clinical data of 80 patients with cholecystolithiasis and choledocholithiasis were retrospectively analyzed,among whom 48 patients were given laparoscopic cholecystectomy (LC) ± laparoscopic common bile duct exploration (LCBDE) (observation group),and 32 patients were given traditional laparotomy (control group).The curative effect was compared between 2 groups.Results There were no statistical differences in operating time,calculi clearance rate and cost of hospitalization between 2 groups (P ＞ 0.05).The intraoperative bleeding,postoperative length of hospital stay,and rate of postoperative complication in observation group were significantly lower than those in control group:(28 ± 5) ml vs.(32 ± 11) ml,(6.0 ± 1.1) d vs.(7.0 ± 1.2) d,4.17％ (2/48) vs.18.75％ (6/32),and there were statistical differences (P ＜ 0.05).Conclusion Laparoscope combined with choledochoscope is an effective treatment method of cholecystolithiasis and choledocholithiasis.
