摘要
Abstract
Objective To discuss the safety and effectiveness in laparoscopic joint choledochoscope in the treatment of cholecystolithiasis combine choledocholithiasis.Methods Retrospective analysis of the clinical data of the 78 cases who diagnose with cholecystolithiasis combine choledocholithiasis was conducted,78 cases were divided into two groups,46 cases(groupⅠ) who treated by open cholecystectomy and common bile duct exploration and T tube drainage; 32 cases(Ⅱgroup) who treated by laparoscopic cholecystectomy,choledochoscope common bile duct exploration and T tube drainage.Operation time,intraoperative amount of bleeding,anal exhaust time,postoperative hospitalization time and the incidence of postoperative complications óf two treatment were observed.Results Group Ⅰ and group Ⅱ were performed successfully,and two groups of the operation time were (132.6±9.7) min and (140.2±10.5) min,the difference was not statistically significant(P＞0.05) ;Two groups intraoperative amount of bleeding anal exhaust time,postoperative hospitalization time were (180.2± 15.1) mL,(3.2-±-1.4)days,(15.2±0.8) days and (84.7±12.4)mL,(1.4±0.9) days,(8.4±1.1) days,the difference was statistically significant(P＜0.05).In group Ⅰ there were 3 cases occurred bile leakage,3 cases occurred biliary tract inflammation,2 cases occurred acute pancreatitis,1 cases occurred stone recurrence,and the postoperative complications incidence rate was 19.6％.In group Ⅱ there were 1 case occurred bile leakage,1 case occurred biliary tract inflammation,1 case occurred acute pancreatitis,and the postoperative complications incidence rate was 9.4％,the difference between the two groups was statistically significant(P＜0.05).Conclusion The laparoscopic joint choledochoscope is an effective treatment method in the treatment of cholecystolithiasis combine choledocholithiasis,and have the advantages including less bleeding,rapid recovery,shorter hospitalization time and low postoperative complication rates.关键词
腹腔镜/胆囊结石病/胆总管结石/胆道镜Key words
laparoscopes/ cholecystolithiasis/ choledocholithiasis / choledochoscope
