摘要
Abstract
Objective To evaluate the therapecutic effect of chaolelithiasis and gallstone treated by three surgical methods. Methods Sixty patients with chaolelithiasis and gallstone were randomly divided into three groups with 20 patients in each group, the group A was treated by LC+EST, the group B by LC + LCBDE and the group C by open surgery. The duration of post-operative ileus, duration of hospitalization, the cost for operation, the rate of abdomimal pain and postoperative fat liquefaction of incision and complications were compared among the three groups. Results In laparoscopy combined with ERCP, the duration of post-operative ileus, duration of hospitalization, the rate of abdomimal pain and fat liquefaction were lower than those in open surgery group (P<0.01 ), the rate of pain and bile leakage were lower than laparoscopy combined with choledochoscopy group ( P < 0.01 ), the rate of hyperamylasemia after operation was higher than group B and C, there were no significant difference of the rates of bile leakage and residual stone among the three groups. Conclusion The combined application of laparoscopy and ERCP in the treatment of chaoledocholithissis with all stones are safe and effective, and with the advantage of less trauma and quick recovery.关键词
胆囊结石/胆总管结石/腹腔镜/经十二指肠乳头切开取石术Key words
cholelithiassis/ common bile duct calculi/ laparoscopy/ endoscopic sphencterotomy分类
医药卫生
