Operation timing of laparoscopic cholecystectomy after endoscopic sphincterotomy
10.3760/cma.j.issn.1673-4904.2014.36.006
- VernacularTitle:经十二指肠镜括约肌切开术后选择腹腔镜胆囊切除术的手术时机探讨
- Author:
Jianlong DING
;
Xiaochen LIU
;
Fafu DOU
;
Jianfeng DUAN
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Sphincterotomy,endoscopic;
Cholecystectomy;
Laparoscopy
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(36):14-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operation timing of laparoscopic cholecystectomy (LC)after endoscopic sphincterotomy (EST).Methods A total of 240 patients with cholecystolithiasis and choledocholithiasis received EST combined with LC.They were divided into 3 groups by random digits table method with 80 cases each:3 days after EST(group A),7 days after EST(group B),and 30 days after EST (group C).Intraoperative and postoperative clinical data were compared among three groups.Results The operation time of LC in group B [(52.5 ± 6.4) min] was longer than that in group A and group C [(35.8 ± 5.7),(34.6 ± 2.6) min],and there was significant difference (P ＜ 0.01).The intraoperative conversion rate in group B [10.0 ％ (8/80)] was higher than that in group A and group C [1.3 ％ (1/80),1.3 ％ (1/80)],and there was significant difference (P ＜ 0.05).The amount of bleeding in group B [(51.7 ± 4.8) ml] was larger than that in group A and group C [(27.9 ± 6.4),(28.2 ± 3.6) ml],and there was significant difference (P ＜ 0.01).The cost of hospitalization in group C [(15 361.2 ± 1 007.8) yuan] was more than that in group A and group B [(10 085.1 ± 695.4),(10 632.4 ± 855.9) yuan],and there was significant difference (P＜ 0.01).Conclusion LC performed 3 days after EST can reduce the operation difficulty and conversion rate,and shorten the operation time,and this modality is safe and effective.
