Combination of open and laparoscopic surgery in treatment of elderly patients with gallbladder stones combined with common bile duct stones
10.3969/j.issn.1007-1989.2016.07.016
- VernacularTitle:传统开放术式与腔镜联合术式治疗老年胆囊结石合并胆总管结石的临床对比研究
- Author:
Jia HE
;
Yu ZHU
;
Jiansheng LI
- Keywords:
laparoscopy;
biliary endoscopy;
gallbladder stones;
common bile duct stones
- From:
China Journal of Endoscopy
2016;22(7):66-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects and safety of combination of open and laparoscopic surgery in treatment of elderly patients with gallbladder stones combined with common bile duct stones. Methods 140 elderly patients with gallbladder stones combined with common bile duct stones from May 2014 to May 2015 were randomly divided into control group (65 patients) with traditional open surgery and observation group (65 pa﹣tients) with combination surgery; then compared the perioperative clinical indicators, the total removal rate of stone, the postoperative analgesic used rate and postoperative complications incidence of the two groups. Results The oper﹣ation time, intraoperative blood loss volume, the exhaust time for first time and hospital staying time of observation group was significantly better than control group (P< 0.05). There was no significant difference in the total removal rate of stone between the two groups (P> 0.05). The postoperative analgesic used rate of observation group was sig﹣nificantly lower than control group (P< 0.05). The postoperative complications incidence of observation group was significantly lower than control group (P< 0.05). Conclusion Compared with traditional open surgery, combination surgery in treatment of elderly patients with gallbladder stones combined with common bile duct stones can efficient﹣ly shorten the operation time, speed up the recovery process, reduce the degree of trauma and postoperative pain and helpful to prevent the postoperative complications.
