摘要
Abstract
Objective:To investigate the clinical effect and complications of laparoscopic combined with choledochoscopic treatment of recurrence of choledocholithiasis after choledocholithotomy.Methods:The clinical data of 121 patients with choledocholithiasis recurrence after choledocholithotomy from Jan.2013 to Nov.2106 were retrospectively analyzed,and they were divided into observation group (laparoscopic combined with choledochoscopic treatment) and control group (open choledocholithotomy combined with T-tube drainage).The operative time,intraoperative blood loss,anal exhaust time,postoperative hospital stay,successful rate of calculi removal and rate of side effects in the two groups were compared.Results:There were no significant differences between the two groups in operation time (P>0.05).The intraoperative blood loss and the rate of side effects in the observation group was significantly lower than that of the control group (P<0.05),the exhaust time and hospital stay in the observation group was significantly shorter than that in the control group (P<0.05).The successful rate of calculi removal in the observation group was 96.72%,which was not significantly different from the control group (96.67%,P>0.05).Conclusions:The clinical effect of laparoscopic combined with choledochoscopic treatment of recurrence of choledocholithiasis after choledocholithotomy is significant.With less side effects,this procedure is worth popularization in clinic.关键词
胆总管结石/复发/腹腔镜检查/胆道镜检查/手术后并发症Key words
Choledocholithiasis/Recurrence/Laparoscopy/Choledochoscopy/Postoperative complications分类
医药卫生
