Clinical effect of laparoscopy combined with choledochoscopy on choledocholithiasis
10.3760/cma.j.issn.0254-9026.2015.11.024
- VernacularTitle:腹腔镜联合胆道镜治疗胆总管结石的临床疗效观察
- Author:
Kezhu HOU
;
Yunxia WANG
;
Zhiqiang FU
;
Hua GONG
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopy;
Biliary tract surgical procedures;
Choledocholithiasis
- From:
Chinese Journal of Geriatrics
2015;34(11):1242-1244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of laparoscopy combined with choledochoscopy on choledocholithiasis.Methods Totally 134 elderly patients with choledocholithiasis were treated in our hospital from Jan 2013 to Dec 2014, who were randomly divided into observation group and control group (n=67 for each), treated with laparoscopy combined with choledochoscopy, and traditional surgery, respectively.The operation time, bleeding volume, exhaust time, in-hospital stay, complications and residual stones rate were compared between the two groups.Results The operation time was higher in observation group than in control group [(124.6±21.2) min vs.(94.7± 17.9) min, t=8.821, P＜0.001].The bleeding volume were less in observation group than in control group[(43.8±10.4) ml vs.(113.5±37.6) ml, t=14.624, P＜0.001].The exhaust time and in hospital time were decreased in observation group than in control group[(27.6 ±5.5) h vs.(43.4±8.1) h, (7.4±2.4) d vs.(10.3±2.8) d, t=13.209 and 6.437, P＜0.001 for both].The incidences of postoperative pain and other complications were lower in observation group than in control group [6.0％ vs.28.4％, 16.4％ vs.43.3％, x2=11.810and 11.547, P=0.001 for all].Conclusions The laparoscopy combined with choledochoscopy has advantages to minimize the surgical injury, reduce the bleeding volume and promote the postoperative recovery in treating choledocholithiasis in elderly patients.
