Laparoscopy combined with holmium laser in the treatment of intrahepatic and extrahepatic bile duct stones in 22 cases
10.3760/cma.j.issn.1008-6706.2016.14.027
- VernacularTitle:腹腔镜下胆道镜联合钬激光治疗肝内外胆管结石22例分析
- Author:
Zhaoming ZHENG
;
Yangchun YUAN
;
Yuqing LUO
;
Dongjia ZHONG
;
Jiayu LIN
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Lithotripsy,laser;
Holmium;
Bile ducts,intrahepatic;
Calculi
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(14):2182-2185
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effect and application value of laparoscopy combined with holmium laser in the treatment of intrahepatic and extrahepatic bile duct stones.Methods Retrospectively analyzed the clinical data of 22 cases with intrahepatic and extrahepatic bile duct stones who treated with laparoscopy choledo-choscopy combined with holmium laser lithotripsy(the observation group),and 21 cases who treated with laparoscopy combined with choledochoscopic lithotomy(the control group).The clinical curative effect was compared between the two groups.Results In the observation group,the residual stones completely removed in 21 cases(95.4%),the mean operation time was (130 ±13)min,the intraoperative bleeding volume was (85 ±20)mL,the average hospitali-zation time was (8.3 ±2.0)days,without conversion to open surgery,no incision infection,1 case had residual stones after operation,through T tube sinus tract choledochoscopy took a stone again.In the control group,took net calculi in 13 cases(61.9%),the average operation time was (135 ±20)min,the intraoperative hemorrhage volume was (70 ± 15)mL,the average hospitalization time was (14.5 ±2)days,6 cases converted to laparotomy,incision infection in 2 cases,8 cases had residual stones after operation,through T tube sinus combined with choledochoscopy again take stone,which 2 secondary mirror lithotomy in 6 cases,3 cases of 2 stones.The differences of the two groups in stone from the net rate,conversion rate,average hospitalization time were statistically significant(χ2 =2.203,2.897,t =4.293,P =0.033,0.006,0.017).The differences of mean operation time,intraoperative hemorrhage had were not statistically significant(t =1.176,1.629,P =0.246,0.111).Conclusion It is safe,effective and minimally invasive for the treatment of intrahepatic and extrahepatic bile duct stones with holmium laser combined with endoscopic holmi-um laser.
