Abstract：Objective: To study and evaluate the clinical effects of laparoscopic surgery on patients with cholecystolithiasis and choledocholithiasis. Methods: 104 cases of cholecystolithiasis and choledocholithiasis patients in the hospital from January 2013 to December 2015 were selected as the research object, the patients were randomly divided into two groups by following by single blind random allocation principle, the control group (49 patients) received traditional open stone surgery, the observation group (55 patients) received laparoscopic cholecystectomy combined with biliary exploration, the situation of surgery, postoperative and follow-up were compared between two groups. Results: In the operation situation, the operation time in the observation group and the control group was closely (P>0.05), the incision length and intraoperative blood loss in the observation group were significantly lower than the control group (P<0.05); in the postoperative situation, the recovery time, ambulation time and hospitalization time in the observation group were significantly shortened than the control group (P<0. 05), and the complication rate was significantly lower than the control group (P<0.05); compared with the control group, the satisfaction of operation in the observation group was significantly higher (P<0.05); in follow-up situation, the recurrence rate in the observation group was significantly lower than the control group (P<0.05). Conclusions: Laparoscopic surgery treatment can effectively reduce the operation machine body hit on the patients with cholecystolithiasis and choledocholithiasis, reduce postoperative complications, is propitious to accelerate the postoperative recovery, also can reduce the relapse rate and improve the prognosis.
李恩忠, 谢福生, 张倩, 李川, 秦华娟. 腹腔镜手术对胆囊结石合并胆总管结石患者的临床作用[J]. 河北医学, 2018, 24(8): 1362-1364.
LI Enzhong, XIE Fusheng, ZHANG Qian, et al. Clinical Effect of Laparoscopic Surgery on Patients with Cholecystolithiasis and Choledocholithiasis. HeBei Med, 2018, 24(8): 1362-1364.
[1] 姜永斌,杨春梅,庞永平,等.腹腔镜联合胆道镜治疗胆结石临床效果探究[J].山西医药杂志,2016,45(17):2031~2033. [2] 朱杰高,韩威,张忠涛,等.胆囊结石合并胆总管结石的治疗新进展[J].中国全科医学,2013,16(15):1702~1704. [3] 孙科,肖宏,陈安平,等.腹腔镜下经胆囊管逆向乳头插管法治疗胆囊结石合并细径胆总管结石的临床疗效[J].中华消化外科杂志,2016,15(4):363~367. [4] Lamberts MP, Den Oudsten BL, Gerritsen JJ, et al. Prospective multicentre cohort study of patient-reported outcomes after cholecystectomy for uncomplicated symptomatic cholecystolithiasis [J]. Br Surg, 2015,102(11):1402~1409. [5] Tan YY, Zhao G, Wang D, et al. A new strategy of minimally invasive surgery for cholecystolithiasis: calculi removal and gallbladder preservation [J]. Dig Surg, 2013,30(4~6):466~471. [6] De Goede B, Klitsie PJ, Hagen SM, et al. Meta-analysis of laparoscopic versus open cholecystectomy for patients with liver cirrhosis and symptomatic cholecystolithiasis [J]. Br Surg, 2013,100(2):209~216. [7] 彭颖,侯纯升,徐智,等.腹腔镜手术治疗残余胆囊结石合并胆总管结石[J].中国微创外科杂志,2015,15(2):107~110. [8] 何群芝,王兴强,乔铁,等.腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石与传统开腹手术临床对比分析[J].中国内镜杂志,2013,19(9):938~940.
2018, Vol. 24 
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