Early postoperative serum levels of inflammatory mediators and biliary pressure level after laparocholedochoscopy plus holmium laser lithotripsy

VernacularTitle:腹腔镜联合胆道镜及钬激光行胆道碎石术后患者早期血清炎性介质和胆道压力水平的观察
Author: Yonggang SONG ; Chonggao WANG
Publication Type:Journal Article
Keywords: Lithotripsy,laser; Biliary tract surgical procedures,endoscopic
From: Chinese Journal of General Practitioners 2014;13(12):1006-1008
CountryChina
Language:Chinese
Abstract: Retrospective analyses were performed for the clinical data of 67 patients with biliary calculi.Among them,laparocholedochoscopy plus holmium laser lithotripsy (n =31) and laparocholedochoscopy (n =36) were performed.As compared with laparocholedochoscopy,early postoperative serum inflammatory mediators of holmium laser lithotripsy were obviously lower,biliary pressure dropped faster and less volatile[(8.5±1.5)-(12.2±4.1) vs.(8.1 ±1.6)-(16.5±4.7) mmHg(1 mmHg=0.133 kPa)],operative duration [(93.5 ± 13.4) vs.(127.6 ± 34.5) min],conversion into laparotomy rate[3％ (1/31) vs.11％ (4/36)],postoperation SIRS rate[23％ (7/31) vs.42％ (15/36)],length of hospital stay [(8.5 ± 3.5) vs.(12.6 ± 3.9) days] and postoperative biliary residual stones rate [0％ (0/31) vs.8％ (3/36)]were also better than.