摘要
Abstract
Objective:To investigate the clinical therapeutic effects of laparoscopy and endoscopy on treat‐ment of choledocholithiasis ,and provide basic data for the clinical surgical options .Methods:196 cases of patients with choledocholithiasis for elective hepatobiliary surgery surgical treatment were selected from March 2010 to April 2012 .All the cases were randomly divided into laparoscopic group and endoscopic group .Patients in laparoscopic group underwent laparoscopic common bile duct exploration plus cholecystectomy ,while in endoscopic group under‐went Endoscopic duodenal lithotomy .The operative time ,blood loss ,postoperative pain duration ,exhaust time , hospital stay ,as well as residual stone rate and postoperative complications in the two groups were compared .And long‐term complications in patients of the two groups were following‐up .Results:The operative time ,blood loss , postoperative pain duration ,exhaust time and hospital stay in laparoscopic group were less than the endoscopic group ,the differences were statistically significant (P<0 .05) .The rate of postoperative residual stones in laparo‐scopic group was 20 .0% ,which was further below than that of endoscopic group (P< 0 .05) .The postoperative complication rate in laparoscopic group was 3 .1% ,further below the 11 .2% of the endoscope group ,the difference was statistically significant (P<0 .05) .After 1‐year follow‐up ,Forward stone recurrence and reflux cholangitis re‐currence in laparoscopic group were lower than endoscopic group ,the differences were all statistically significant (P<0 .05) .Conclusions:Laparoscopic treatment for choledocholithiasis in patients had a better short‐term and long‐term efficacy ,can be used as the preferred method of minimally invasive treatment of choledocholithiasis .But for patients with the risk factors of complex abdominal surgery history , biliary pancreatitis and acute suppurative cholangitis ,endoscopic treatment had the advantages .关键词
胆总管结石/外科学/腹腔镜检查/方法/内窥镜检查/方法/对比研究Key words
Choledocholithiasis/surgery/Laparoscopy/methods/mndoscopy/methods/Comparative study分类
医药卫生
