Clinical analysis of mini-invasive treatment for gallstone with non-dilated extrahepatic choledocholithiasis, experiences in 230 patients
10.3760/cma.j.cn113855-20190701-0359
- VernacularTitle:微创治疗非扩张性肝外胆管结石230例临床分析
- Author:
Liang ZHAO
1
;
Chao JIANG
;
Dawei SUN
;
Meng WANG
;
Guoyue LYU
;
Guangyi WANG
Author Information
1. 吉林大学第一医院肝胆胰外一科，长春 130021
- From:
Chinese Journal of General Surgery
2020;35(7):521-523
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the methods and effects of mini-invasive treatment of non-dilated common bile duct stones.Methods:From Oct 2015 to Dec 2018, clinical data of 230 cases of cholecystolithiasis combined with non-dilated common bile duct stones (choledochal diameter ≤8 mm) at our hospital were analyzed. The treatment methods included endoscopic retrograde cholangiopancreatography (ERCP)+ synchronous LC, ERCP+ nonsynchronous LC, laparoscopic transcyctic duct common bile duct exploration(LTCBDE).Results:In 69 out of 70 patients in the ERCP+ synchronous LC group stones were successfully extracted. In 118(118/120) cases out of the ERCP+ nonsynchronous LC group common bile duct stones were successfully removed, LTCBDE was performed in 38(38/40) cases and stones were successfully removed. There was no significant difference in the success rate among the three methods ( P>0.05), while patients in LTCBDE group had the shortest mean postoperative hospitalization time ( F=243.22, P=0.000) , the least average hospitalization cost ( F=300.40, P=0.000) and with lower incidence of complications (10.00%, P<0.05). Conclusions:It is of great importance to adopt the appropriate procedures for the mini-invasive treatment of non-dilated extrahepatic common bile duct stones. LTCBDE is the most suitable procedures for this purpose.
