摘要
Abstract
Objective:Through comparison of pre-EST plus LC and LC-LCBDE, we tried to figure out the much more rational, safe, and effective management of concomitant cholecystolithiasis and choledocholithiasis in senile patients. Methods: A total of 232 patients were treated for cholecystolithiasis and choledocholithiasis in senile patients by LC+LCBDE(120) and EST+LC(112) from 2011 to 2014. The operation time, hospitalizations charge, hospital stay, the success of operation, the clearance rate of calculus, and occurrence of complications were compared between the two groups. Results: There were no statistical significances in the success of operation, the rate of conversion, and the clearance rate of calculus between two groups. According to the operation time, the feeding time, primary success rate, hospitalizations charge, overall hospital stay, postoperative hospital stay, and hyperamylasemia in LC+LCBDE group were significantly lower than the EST+LC group(P<0.05).关键词
胆囊结石/胆总管结石/腹腔镜胆总管探查术/内镜/括约肌切开术/老年患者Key words
Gallstones/Common bile duct stones/Laparoscopic common bile duct exploration/Endoscopic retrograde cholangio-pancrea-ticography/Endoscopic sphincteroctomy, senile patients
