Abstract：Objective: To investigate the curative effect of different minimally invasive methods for the treatment of common bile duct stones without gallstones. Methods: Retrospective analysis of clinical data of 96 patients with common bile duct stones were performed, Patients were divided into groups A, B, and C according to different surgical procedures. Group A undergoing laparoscopic choledocholithotomy, primary suture, group B undergoing laparoscopic cholecystectomy , laparoscopic choledocholithotomy , primary suture and group C undergoing laparoscopic cholecystectomy , laparoscopic primary , T tube drainage. The intraoperative blood loss, surgical time, postoperative exhaust time, incidence of postoperative complications, hospitalization time and costs were compared among the three groups. Results: The intraoperative blood loss of group A was significantly less than that of group B and group C (P<0.05). The exhaust or defecation time and hospitalization time of group C was significantly longer than that of group A and group B (P<0.05). There was no significant difference in the incidence of postoperative residual stones, stone recurrence or postoperative complications among the three groups (P>0.05). Conclusion: The three minimally invasive procedures have their own advantages and disadvantages. For patients with indications for preservation of gallbladder and primary suture, it is recommended to preserve gallbladder and use primary suture.
李文心, 何忠野, 王开宇, 尚海, 华向东. 三种不同微创方式治疗胆总管结石不伴有胆囊结石的疗效观察[J]. 河北医学, 2019, 25(10): 1718-1720.
LI Wenxin, HE Zhongye, WANG Kaiyu, et al. Curative Effect of Three Different Minimally Invasive Methods for the Treatment of Common Bile Duct Stones without Gallstones. HeBei Med, 2019, 25(10): 1718-1720.
2019, Vol. 25 
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