The impact of combined laparoscopic and choledochoscopic treatment on biliary leak in hepatic hydatid disease in a high attitude region

VernacularTitle:腹腔镜联合胆道镜治疗高原地区肝包虫病并发胆漏的临床效果
Author: Jin DONG ; Baobao DANG ; Wei QIN ; Yu HU
Publication Type:Journal Article
Keywords: Laparoscopic combined with choledochoscope; Hepatic hydatid disease; Biliary fistula
From: Chinese Journal of Hepatobiliary Surgery 2016;22(2):86-89
CountryChina
Language:Chinese
Abstract: Objective To explore the impact of combined laparoscopic and choledochoscopic treatment on bile leak in hepatic hydatid disease at a high attitude region.Methods The clinical data of 50 patients who underwent combined laparoscopic and choledochoscopic treatment were compared with 50 patients who underwent laparoscopic surgery alone for hepatic hydatid internal capsule excision surgery.Results In the combined laparoscopic and choledochoscopic group,the incidence of biliary fistula after surgery was 15％,the incision infection rate was 13％,the length of hospitalization was (11.6 ± 3.8) days and the postoperative time to take off drain was (14.3 ± 7.9) days.These were significantly better than those in the laparoscopic alone group.The operation time in the former group was (108.2 ± 28.4)min,which was slightly longer than the laparoscopy group.Conclusion The combined laparoscopic and choledochoscopic treatment is a safer therapeutic option in treating hepatic hydatid disease with less trauma,faster recovery and shorter hospital stay than laparoscopic surgery alone in a high attitude region.