Efficacy and safety of Laparoscopic + ERCP in the treatment of elderly patients with acute cholecystitis and common bile duct stones
10.3760/cma.j.issn.1008-6706.2018.16.015
- VernacularTitle:腹腔镜联合内镜下逆行胰胆管造影术治疗老年人急性胆囊炎合并胆总管结石的疗效观察
- Author:
Jun LIANG
1
Author Information
1. 山西大同同煤集团总医院普外Ⅱ科
- Keywords:
Cholecystitis,acute;
Choledocholithiasis;
Cholecystectomy,laparoscopic;
Cholangiopancreatography,endoscopic retrograde
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(16):2095-2098
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the efficacy and safety of elderly patients with acute cholecystitis and common bile duct stones by Laparoscopic + ERCP.Methods From February 2015 to May 2016,A total of 80 elderly patients with acute cholecystitis and common bile duct stones in the General Hospital of Shanxi Datong Tongmei Coal Mine Group were enrolled into this study.The patients were divided into observation group and control group according to the random number method,with 40cases in each group.The observation group was given Laparoscopic + ERCP,whille the control group was given adopts open operation.The operation situation,complications of the two groups were accounted.Results The bed intraoperative blood loss,operative time,postoperative activity out of bed days,intestinal function recovery time,root out the abdominal cavity drainage tube time,length of hospital stay in the observation group was better than those of the control group [(20.6 ± 5.3) mL vs.(83.2 ± 8.7) mL,(59.6 ± 4.5) min vs.(68.4±9.5)min,(28.38±2.5)hvs.(36.2±3.5)h,(18.2±6.4)h vs.(25.1 ±6.3)h,(2.5±1.3)dvs.(6.5±2.3)d,(9.2±0.3)dvs.(10.6±1.6)d,t=38.9,5.3,11.5,4.9,9.6,5.4,allP＜0.05].Thecomplication rate of the observation group was 12.5％,which was significantly lower than that of the control group (37.5％),the difference was statistically significant (x2 =6.67,P ＜ 6.67).Conclusion Laparoscopic + ERCP curative in the treatment of elderly patients with acute cholecystitis and common bile duct stones has sure effect and high safety.
