Comparison of two minimally invasive managements for cholecystolithiasis combined with choledocholithiasis

Wang Yafei, Jin Dingding, Di Huaming, Ma Jianwen, Zhao Yong, Tian Mingguo, Yang Yong

Journal of Abdominal Surgery ›› 2021, Vol. 34 ›› Issue (1) : 68-71.

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Journal of Abdominal Surgery ›› 2021, Vol. 34 ›› Issue (1) : 68-71. DOI: 10.3969/j.issn.1003-5591.2021.01.016

Comparison of two minimally invasive managements for cholecystolithiasis combined with choledocholithiasis

  • Wang Yafei1, Jin Dingding1, Di Huaming1, Ma Jianwen1, Zhao Yong1, Tian Mingguo2, Yang Yong2
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Abstract

Objective To compare the clinical effect of laparoscopic cholecystectomy combined with laparoscopic common bile duct exploration for biliary stent drainage (LC+LCBDE+stent) compared with endoscopic sphincterotomy and lithotomy (EST) combined with laparoscopic cholecystectomy (EST+LC) in the treatment of cholecystolithiasis with common bile duct stones.Methods The clinical data of 97 patients with cholelithiasis and choledocholithiasis in hepatobiliary surgery of Ningxia Hui Autonomous Region People's hospital were analyzed retrospectively. Among them, 52 patients underwent (LC+LCBDE+stent) and 45 patients underwent (EST+LC).The operation time intraoperative bleeding, hospitalization time, hospitalization cost and postoperative complications of the two groups were compared.Results The length of stay, hospitalization cost and postoperative complications were lower in LC+LCBDE+stent group than in EST+LC group. The difference was statistically significant (P<0.05),the intraoperative bleeding volume of patients in LC+LCBDE+stent group was slightly more than that in EST+LC group, and the difference was not statistically significant (P>0.05).Conclusion Compared with EST+LC,LC+LCBDE+stent has the advantages of short length of stay, low hospitalization cost and low complication rate, but the operation time is longer.

Key words

Cholecystolithiasis combined with choledocholithiasis / Endoscopic sphincterotomy / Laparoscopic common bile duct exploration and stent drainage / Laparoscopic cholecystectomy

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Wang Yafei, Jin Dingding, Di Huaming, Ma Jianwen, Zhao Yong, Tian Mingguo, Yang Yong. Comparison of two minimally invasive managements for cholecystolithiasis combined with choledocholithiasis[J]. Journal of Abdominal Surgery, 2021, 34(1): 68-71 https://doi.org/10.3969/j.issn.1003-5591.2021.01.016

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