Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (2): 109-112 DOI: 10.16260/j.cnki.1009-2188.2018.02.007 |
| Clinical Research |
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| The Effect of Laparoscopy Combined with Choledochoscopy and Selective Duodenoscopy in the Treatment ofCholecystolithiasis Complicated with Choledocholithiasis |
| SU Shi-ke1, ZHOU Xu2
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| 1.Department?of?General?Surgery,?People's?Hospital?of?Qihe?County,?Dezhou?251100,?Shandong,?China;2.?Department?of?Hepatobiliary?Surgery,?Shandong?Provincial?Hospital,?Jinan?250021,?Shandong,?China |
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Abstract Objective To study the effect of laparoscopy, choledochoscopy and selective duodenoscopy in the treatment of cholecystolithiasis complicated with choledocholithiasis. Methods From April 2015 to April 2017, 58 patients complicated with cholecystolithiasis and choledocholithiasis were treated in our hospital, who were randomly divided into the observation group (29 cases) and the control group (n=29). The observation group was treated with laparoscopy, choledochoscopy and selective duodenal endoscopy, while the control group was treated with laparoscopy combined with duodenoscopy. The curative effect, operation and hospitalization time, intraoperative blood loss, VAS score and complications were compared between the two groups. Results It was significantly lower of the numerical value of operation time and hospitalization time, bleeding volume and intestinal recovery time of the observation group than that of the control group(P<0.05). The total clearance rate of calculi in the observation group was significantly higher than that of the control group (P<0.05). And there was no significant difference in the incidence of postoperative complications between the two groups (all?P>0.05). Conclusion The combined application of laparoscopy, choledochoscopy and selective duodenoscopy for the treatment of cholecystolithiasis and choledocholithiasis patients can not only reduce operative time, hospitalization time and the amount of bleeding, but also can increase the stone clearance rate, which is worthy of clinical promotion.
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Published: 14 August 2018
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Corresponding Authors:
ZHOU Xu
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