Abstract：Objective: To evaluate the clinical efficacy of laparoscopic cholecystectomy combined with laparoscopic choledocholithotomy using a rigid nephroscope in the treatment of 50 cases of cholelithiasis. Methods: A total of 100 patients with cholelithiasis admitted to the department of General Surgery of the Third People's Hospital of Hui Zhou were divided into observation group and control group according to random number table. Patients in observation group were treated with laparoscopic cholecystectomy plus laparoscopic choledocholithotomy performed using a rigid nephroscope, while those in control group were treated with traditional open operation. The total effective rate, operation duration, length of stay, time of postoperative anal exhaust, postoperative drainage tube indwelling time, intraoperative bleeding, incident rates of postoperative complications, and the recurrence rate between the two groups were compared. Results: The total effective rate of clinical efficacy in the observation group was significantly higher than that in the control group (96.00%). The operation duration, length of stay, time of postoperative anal exhaust, and postoperative drainage tube indwelling time of the observation group were significantly shorter than those in control group (P<0.05). The intraoperative bleeding was significantly less in the observation group (P <0.05). There was no significant difference in the recurrence rate of stones between the two groups (P> 0.05), while the incident rates of postoperative complications were significantly lower in the observation group (2.00%), the difference was statistically significant (P<0.05). Conclusion: Laparoscopic cholecystectomy combined with laparoscopic choledocholithotomy using a rigid nephroscope has higher effective rate, lower incident rates of postoperative complications, and causes less damage in the treatment of cholelithiasis, which are beneficial to the recovery of patients and makes it worth generalizing.
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2018, Vol. 24 
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