Evaluation of tri-endoscopy for choledocholithiasis accompanied with cholecystolithiasis
10.3760/cma.j.issn.1007-5232.2015.05.002
- VernacularTitle:三镜联合“一步法”治疗胆总管结石合并胆囊结石的临床疗效观察
- Author:
Fujing LYU
;
Shutian ZHANG
;
Ming JI
;
Yongjun WANG
;
Peng LI
;
Qiaozhi ZHOU
;
Wei HAN
- Publication Type:Journal Article
- Keywords:
Choledocholith;
Choledocholithiasis;
Cholangiopancreatography,endoscopic retro-grade;
Laparoscope
- From:
Chinese Journal of Digestive Endoscopy
2015;(5):277-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate a method named “one-step procedure”,i.e.,combined duode-noscopy,laparoscopy and choledochoscopy for choledocholithiasis accompanied with cholecystolithiasis.Meth-ods Fifty-three cases with gallbladder stones combined with common bile duct stones diagnosed from February 2012 to February 2014 were assigned to two groups,29 cases in “one-step procedure”group,who underwent duodenoscopy,laparoscopy and choledochoscopy in one operation,and 24 cases in the control group,who first-ly underwent endoscopic sphincterotomy to remove common bile duct stones,and then LC was performed after several days.The rate of complications related to the procedure,success rate of complete stone removal,length of hospital stay and hospitalization expenses were compared between the two groups.Results All 53 patients underwent the surgery and ERCP procedure successfully.There were no significant differences between the“one-step procedure”group and the control group in complication rates[3.4%(1 /29)VS 12.5%(3 /24),P =0.21],complete stone removal rates[96.6%(28 /29)VS 100.0%(24/24),P =0.37].Differences were sig-nificant in length of hospital stay (6.7 ±1.3d VS 10.9 ±1.6d,P <0.01 )and hospitalization expenses (15 724 ±1 613 yuan VS 19 829 ±2 433 yuan,P <0.05)between the “one-step procedure”group and the control group.Conclusion The “one-step procedure”,the combined duodenoscopy,laparoscopy and chole-dochoscopy,is safe,effective,and has smaller length of hospital stay and lower hospitalization expenses.
