河北医学2024，Vol.30Issue(11)：1877-1881,5.DOI:10.3969/j.issn.1006-6233.2024.11.023
腹腔镜胆总管切开取石与ERCP对胆管结石合并胆囊结石患者术后恢复及远期随访结果的影响
Effect of Laparoscopic Choledocholithotomy and Ercp on Postoperative Recovery and Long-Term Follow-Up of Patients with Bile Duct Stones Complicated with Gallbladder Stones
摘要
Abstract
Objective:To compare the influence of laparoscopic choledocholithotomy and ERCP(endo-scopic retrograde cholangiopancreatography)on postoperative recovery and long-term follow-up outcome in patients with bile duct stones(BDS)and gallbladder stones(GBS).Methods:Totally 128 BDS patients with GBS in the hospital from May 2019 to May 2022 were divided into laparoscopic group(n=66,laparoscopic choledocholithotomy)and ERCP group(n=62,ERCP)by means of the surgical methods.The success rate of one surgery,surgical time,intraoperative blood loss,Winslow foramen/nasobiliary drainage time,postoper-ative first exhaust time,ambulation time,hospitalization time and cost and postoperative complications were compared between groups,and the stone recurrence rate in both groups was observed at 2 years after surgery.Results:The success rate of one surgery in the laparoscopic group was higher than that in the ERCP group,and the surgical time and intraoperative blood loss were longer or more than those in the ERCP group while the Winslow foramen/nasobiliary drainage time was shorter(P<0.05).Compared with the ERCP group,the postoperative first exhaust time,ambulation time and postoperative hospitalization time were shortened in the laparoscopic group,and the hospitalization cost was increased(P<0.05).The postoperative complications re-vealed no obvious differences between groups(P>0.05).The stone recurrence rate in the laparoscopic group within 2 years after surgery was obviously lower than that in the ERCP group(P<0.05).Conclusion:Lapa-roscopic choledocholithotomy and ERCP can achieve significant results in the treatment of patients with bile duct stones and gallbladder stones.Compared with ERCP,laparoscopic choledocholithotomy has faster postop-erative recovery and lower long-term recurrence rate,but has higher surgical cost.关键词
胆管结石/胆囊结石/腹腔镜胆总管切开取石术/经内镜逆行胰胆管造影术/术后恢复/远期复发率Key words
Bile duct stones/Gallbladder stones/Laparoscopic choledocholithotomy/Endo-scopic retrograde cholangiopancreatography/Postoperative recovery/Long-term recurrence rate引用本文复制引用
方友发,开喆,鲁育民,王惟..腹腔镜胆总管切开取石与ERCP对胆管结石合并胆囊结石患者术后恢复及远期随访结果的影响[J].河北医学,2024,30(11):1877-1881,5.基金项目
2020年度安徽省自然科学基金项目,(编号:2008085QH388) （编号:2008085QH388）
