One-staged and two-staged minimally invasive surgical procedures in the treatment of cholecystolithiasis complicated with choledocholithiasis
10.3670.cma.j.issn.1007-631X.2019.12.011
- VernacularTitle:一期与分期微创术式治疗胆囊结石合并胆总管结石的疗效分析
- Author:
Guotai WANG
1
;
Xingwu YANG
;
Qi WANG
;
Xin WANG
;
Ning LI
Author Information
1. 陕西中医药大学附属医院肝胆外科
- Keywords:
Cholecystolithiasis;
Choledocholithiasis;
Cholecystectomy,Laparoscopic
- From:
Chinese Journal of General Surgery
2019;34(12):1056-1059
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of one-stage laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration (LCBDE) with primary suture (PS) and two-staged endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) followed by LC in treatment of cholecystolithiasis complicated with choledocholithiasis.Methods Of these patients,58 received one-staged LC + LCBDE + PS (the one-stage group),and 71 underwent two-staged ERCP/EST followed by LC (the two-stage group).Results The surgical success rate,residual stone rate,incidence of postoperative complications and operative time showed no significant difference (x2 =0.344,0.344,0.108,t =-0.240,all P ＞ 0.05) in both the one-staged and two-stage groups.Compared with the two-staged group,the hospital stay was shorter (4.1d vs.6.9d) and the total hospitalization cost was lower (23 126 yuan vs.32 982 yuan) in the one-staged group.Conclusion Both one-staged LC + LCBDE + PS and two-staged ERCP/EST + LC are safe and effective in the treatment of cholecystolithiasis complicated with choledocholithiasis on base for base basis.
