Clinical analysis of laparoscopic cholecystectomy combined with endoscopic sphincterotomy in treatment of cholecystolithiasis associated with choledocholithiasis
10.3760/cma.j.issn.1673-4904.2011.17.006
- VernacularTitle:内镜腹腔镜联合与腹腔镜下治疗胆囊并胆总管结石临床分析评价
- Author:
Reng LI
;
Feng DU
;
Naijin CHEN
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopic;
Cholelithiasis;
Endoscopic sphincterotomy
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(17):13-15
- CountryChina
- Language:Chinese
-
Abstract:
Objectivc To compare the clinical effieacy of laparoscopic cholecystectomy(LC) combined with endoscopic sphincterotomy (EST) and LC in treatment of cholecystolithiasis associated with choledocholithiasls.Methods Seventy-six patients with cholecystolithiasis associated with choledocholithiasis were divided into observation group and control group by random digits table,38 cases in each group,and respectively received LC combined with EST and LC combined with choledocholithotomy and T drainage.Theoperative time,hospitalization time,blood loss and complications in the two groups were compared.Results The operative time and hospitalization time of observation group were(105.3±13.2)min and(11.3±3.2)d respectively,and which were significantly shorter than those in control group[(140.5±15.6)min,(14.2±4.6)d],the differences were statistically significant between the two groups(P<0.05).Both groups had no serious complications happened.Conclusion LC combined with EST in treatment of cholecystolithiasis associated with choledocholithiasis has advantages such as effective,litfle trauma,rapid recovecy and less comphcations,it is worthy of clinical application.
