Abstract：Objective: To explore the clinical effect between mini-invasive technique combined with holmium laser and traditional operation in treating hepatolithiasis. Methods: A retrospective study was carried out on the clinical data of 45 patient s with intrahepatic lithiasis treated by our hospital from May 2013 to July 2016,randomly divided into two groups, of which 20 patients was treated by traditional technique (open-abdomen and intraoperative choledochoscope technique)(control group) and 25 cases underwent mini-invasive technique (laparoscopy and intraoperative choledochoscope technique) combined with holmium laser lithotripsy(observation group). Results: The intraoperative bleeding in observation group was (30.23±5.55) mL, the postoperative hospitalization time was (8.20 ± 1.50) d, the incision infection or liquefaction rate was 0, the incidence of biliary fistula was 4% and the residual rate of stones was 7%. In the control group,the amout of bleeding in operation was (51.76 ± 5.92) mL, the postoperative hospital stay time was (10.25 ± 1.97) d, the incision infection or liquefaction rate was 25%, the incidence of biliary fistula was 15% and the residual rate of stones was 35%.There were statistically significantly differences in intraoperative bleeding,postoperative hospitalization time,the incision infection or liquefaction and residual calculus in the two group (P<0.05). Conclusion: Mini-invasive technique combined with holmium laser has the advantages of shorter hospitalization time, fewer bleeding, low residual calculus and fewer complications than traditional technique in the treatment of hepatolithiasis. It deserves further promotion and application.
景东帅, 吕宗峻, 郑建忠, 芦小龙, 陈高飞. 微创技术联合钬激光与传统技术治疗肝内胆管结石的临床比较[J]. 河北医学, 2017, 23(9): 1452-1454.
JING Dongshuai, LV Zongjun, ZHENG Jianzhong, et al. The Clinical Comparison between Mini-invasive Technique Combined with Holmium Laser and Traditional Technique in Treatment of Hepatolithiasis. 河北医学, 2017, 23(9): 1452-1454.
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