摘要
Abstract
Objective To explore the clinical efficacy of laparoscopy and duodenoscopy for cholecystolithiasis complicated with calculus of extrahepatic bile duct.Methods 86 patients with cholecystolithiasis complicated with calculus of extrahepatic bile duct treated at our hospital from September,2014 to February,2016 were selected as study objects and were divided into an experimental group (treated by laparoscopy and duodenoscopy) and a control group (treated by laparoscopy) according to different treatment methods,43 for each group.The clinical efficacies of the two groups were compared.Results The operation time,intra-operative bleeding volume,time for off-bed activity,and residual stone rate were (129.52±17.52) min,(48.9±6.35) ml,(14.20±2.81) h,and 6.98% in the experimental group and were (130.05±17.48) min,(49.09±6.27) ml,(14.06±2.92) h,and 4.65% in the control group,with no statistical differences (P > 0.05).The hospital stay was longer and the hospitalization cost was lower in the experimental group than in the control group [(6.52±1.56) d vs.5.09±1.07) d and (18 962±2 017) yuan vs.(24 621±2 568) yuan],with statistical differences (P < 0.05).Conclusions Laparoscopy and duodenoscopy for cholecystolithiasis complicated with calculus of extrahepatic bile duct is effective and can shorten the hospital stay and should be chosen according to the patients' economic conditions.关键词
胆囊结石/肝外胆管结石/腹腔镜/十二指肠镜Key words
Cholecystolithiasis/Calculus of extrahepatic bile duct/Laparoscope/Duodenoscope