摘要
Abstract
Objective To evaluate the clinical effect of laparoscopic and choledochoscopic transcystic common bile duct exploration(LTCBDE)in the treatment of cholecystolithiasis combined with choledocholithiasis.Methods The clinical data of 143 patients with cholecystolithiasis combined with choledocholithiasis treated in Yongzhou Central Hospital from Jan.2021 to Jun.2023 were retrospectively analyzed.Among 143 patients,70 were assigned to the observation group,and LTCBDE was performed,while 73 were assigned to the control group,and laparoscopic common bile duct exploration(LCBDE)was performed.The stone clearance rate,operative time,intraoperative blood loss,anal deflation time,postoperative out-of-bed time,postoperative hospitalization time,postoperative pain score,and postoperative complications were compared between the two groups.Results The operation time[(79.43±9.26)min vs(94.56±8.41)min],postoperative out-of-bed time[(24.74±3.00)h vs(37.85±2.95)h],anal exhaust time[(26.31±3.04)h vs(34.44±2.35)h]and postoperative hospitalization time[(5.91±0.78)d vs(8.55±0.99)d]in the observation group were shorter than those in the control group(P<0.05).Additionally,the postoperative pain score in the observation group were lower than that in the control group(P<0.05).However,there was no significant difference in intraoperative blood loss,stone clearance rate or postiperative complication rate between the two groups(P>0.05).Conclusion For treatment of cholecystolithiasis combined with choledocholithiasis,LTCBDE is as safe and effective as LCBDE.Furthermore,the diameter of the cystic duct can be predicted according to the preoperative imaging,allowing flexible selection of the incision form of the cystic duct during LTCBDE,which adatability enhances the method's advantages.关键词
腹腔镜手术/胆道镜手术/胆总管结石/胆囊结石/经胆囊管胆总管探查Key words
laparoscopy/choldeochoscopy/choledocholithiasis/cholecystolithiasis/transcystic common bile duct exploration分类
医药卫生
