A comparative study between laparoscopic versus open choledocholithotomy
- VernacularTitle:Цөсний ерөнхий сувгийн чулуу өвчнийг хэвлийн хөндийн дурангийн ба нээлттэй мэс заслын
- Author:
Yan bo Qi, Sanchin U
- Collective Name:Mongolian National University of Medical Sciences
- Publication Type:Journal Article
- Keywords:
Choledocholithiasis;
laparoscopic choledocholithotomy;
open choledocholithotomy
- From:Journal of Surgery
2016;19(1):23-28
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction: Choledocholithiasis is
present in approximately 15-20% of patients
with gallstone and laparoscopic common
bile duct exploration has been effectively
employed many cases currently. National
Center for Health Development, Mongolian
Ministry of Health, registered 23180 cases of
bile duct diseases which were 3.4% of total
diseases, 2.5% of total surgery, 12.2% of
total gastrointestinal disease, 46.9% of total
liver and biliary tract diseases between 2000
and 2006. Biliary tract diseases increased
2.4 times and bile duct surgery increased
5.2 times than 15 years ago in Mongolia.
To compare open choledocholithotomy
and laparoscopic choledocholithotomy for
common bile duct stones.
Materials and Methods: This study was
carried out in Mongolian national second
central hospital and Inner Mongolian first
medical university hospital. The clinical data
of the106 patients with common bile duct
stones were analyzed between Арril 2015
and Арril 2016. Duration of operation, blood
loss, postoperative complication, period of
hospital stay and expenditure of treatment
were compared in open choledocholithotomy
and laparoscopic choledocholithotomy. All
patients were placed on a “T” tube drainage.
Results: In results of the duration
of operation (p=0.001), blood loss
(p=0.001) and period of hospital (p=0.01)
were significantly lower in laparoscopic
choledocholithotomy group Postoperative
complications and gastrointestinal function
recovery time were lower in laparoscopic
group whereas expenditure of treatment
were lower in open choledocholithotomy.
Conclusion: In conclusion main advantages
of laparoscopic choledocholithotomy were
reduced duration of operation, blood
loss, period of hospital stay and lower
postoperative complications however costly.
- Full text:W020170329513409603686.pdf
