Acute Biliary Pancreatitis 68 Cases Induced by Treating Cholelithiasis Treated with Bi-microscope Combined with Choledoch Probe Incision for LCDE
- VernacularTitle:双镜联合胆总管探查切开取石术治疗胆石症引起的急性胆源性胰腺炎68例疗效观察
- Author:
Benyuan RUAN
- Publication Type:Journal Article
- Keywords:
ABP;
cholelithiasis;
laparoscope;
choledochoscope;
LCBDE
- From:
Journal of Zhejiang Chinese Medical University
2014;(3):297-299
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To discuss the clinical effect of laparoscopic common bile duct exploration(LCBDE)on acute biliary pancreatitis(ABP)induced by treating cholelithiasis. [Method] Select 68 cases of ABP having LCBDE induced with cholelithiasis as experimental group, and other 87 cases of open choledocholitho tomy T-tube drainage(OCTD) as control group;both had routine treatment before operation. Compare their operational time, bed time, post-operation gastro-intestinal recovery time, drainage tube removing time, time of leaving hospital, results of calculus removal and complications. [Result] In experimental group, the operational time was 115~205min,(143.62 ±28.73)min in average, both successful y finishing LCBDE, without conversion to open laparotomy. Calculus removal result: 61 cases were al removed the calculus in the bile duct, the T tube was removed 4w after operation; the remained calculus in 7 cases were removed completely after 6w through T tube sinus tract choledochoscope. In the control groups: the operation time was 120~150min,(135.07 ±15.01)min in average;79 cases had successful OCTD, other 8 cases ended the operation in advance over constitution and much bleeding in operation, and finished the calculus removal after 6w. On post-operational complication, the experimental group had no severe complications, however, there’re 10 cases with complications in control group; in fol owing up, the experimental group had no complications, but there’re 3 cases with complications in control one. Both groups had no statistical meaning for difference on operational time; on bed time, post-operational gastro-intestinal recovery time, drainage removal time, time leaving hospital and complications, the experimental group was markedly better than control one.[Conclusion] LCBDE phase-1 treating ABP induced by cholelithiasis is safe and available, with little trauma, quick recovery and good cure effect.
