The comparison of clinical effects between laparoscopic cholecystectomy and choledochotomy versus laparotomy for the treatment of the gallbladder and choledocholithiasis in elderly patients
10.3760/cma.j.issn.0254-9026.2019.11.019
- VernacularTitle: 腹腔镜联合胆道镜与开腹手术治疗老年胆囊及胆总管结石的临床对比
- Author:
Jianbin CHEN
1
;
Sidong WEI
;
Jianjun SUN
;
Guangbo LIU
;
Gaofeng TANG
;
Zhantao XIE
;
Guoyong CHEN
Author Information
1. The Sixth Ward of Hepatobiliary Surgery Department of Henan Province People's Hospital, Zhengzhou 450003, China
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Cholecystolithiasis;
Choledocholithiasis
- From:
Chinese Journal of Geriatrics
2019;38(11):1270-1272
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects between laparoscopic cholecystectomy and choledochotomy versus traditional open cholecystectomy plus choledochotomy.
Methods:One hundred and sixty-eight elderly patients with gallbladder and choledocholithiasis were divided into a laparoscopy group(n=75, receiving laparoscopic cholecystectomy and choledochotomy)and an open abdominal group(n=93, undergoing traditional open cholecystectomy and common bile duct exploration). The surgical incision length, operation time, intraoperative blood loss, anal exhaust time, hospital stay and postoperative complications were compared between the two groups.
Results:The surgical incision length, operation time, intraoperative blood loss, anal exhaust time, hospital stay were lower in the laparoscopic group than in the open abdominal group(P<0.05). The incidence of postoperative complications was lower in the laparoscopic group than in the open group(P<0.05).
Conclusions:Laparoscopic cholecystectomy and choledochotomy can obviously improve the clinical efficacy and reduce complications in elderly patients with gallbladder and choledocholithiasis, and it is worthy of clinical application.
