|
|
|
| Comparison of Laparoscopic common Bile Duct Exploration and Endoscopic Duodenal Sphincterotomy in the Treatment of Common Bile Duct Stones |
| LI Jun |
| The Fourth People's Hospital of Zigong, Sichuan Zigong 643000, China |
|
|
|
|
Abstract Objective: To investigate the efficacy of laparoscopic common bile duct exploration and endoscopic duodenal sphincterotomy in the treatment of common bile duct stones. Methods: 200 patients with choledocholithiasis who were enrolled from January 2016 to September 2016 were randomly divided into two groups. Laparoscopic patients underwent laparoscopic common bile duct exploration. Endoscopic group Intra-papillary sphincterotomy, compared the two groups of patients with perioperative clinical indicators, postoperative monitoring indicators, perioperative and long-term complications. Results: The length of the patients in the laparoscopic group, the amount of blood loss during operation, the time of operation, the recovery time of gastrointestinal function, the time of hospitalization, acute pancreatitis, the incidence of total perioperative complications, recurrence of stone recurrence and overall long-term complication (P <0.05) .There was significant difference between the two groups (P <0.05) . Conclusion: The efficacy of laparoscopic common bile duct exploration in the treatment of common bile duct stones is more significant, lower trauma, higher safety, with reference.
|
|
|
|
|
|
[1] 林泽伟,刘晓平,刘吉奎,等.腹腔镜胆囊切除联合胆总管探查及内镜括约肌切开治疗胆囊结石并胆总管结石的疗效对比[J].腹腔镜外科杂志,2013,18(2):87~90.
[2] 岳大成.腹腔镜胆总管探查术与内镜下十二指肠乳头括约肌切开术治疗胆总管结石的临床对照研究[J].中华实验外科杂志,2016,33(5):1327~1329.
[3] 陈晓鹏,张卫东,王东,等.腹腔镜胆总管探查术与内窥镜下括约肌切开术治疗胆总管结石的临床应用比较[J].肝胆胰外科杂志,2012,24(3):188~191.
[4] 张智勇,杜立学,郑伟,等.腹腔镜胆总管探查术与内镜下十二指肠乳头括约肌切开术治疗胆总管结石的临床对照研究[J].中国普通外科杂志,2015,24(8):1088~1092.
[5] 邱忠伟.腹腔镜下胆总管探查术与内窥镜下十二指肠乳头括约肌切开术治疗胆总管结石的临床效果比较分析[J].中国医学创新,2016,13(34):5~8.
[6] 李作安,张建民.逆行胰胆管造影联合内镜与腹腔镜联合胆道镜治疗单纯胆总管结石的临床效果[J].中国医药导报,2016,13(28):56~59.
[7] Jian-Fei Zhang,Zhao-Qing Du,Qiang Lu,et al. Risk factors associated with residual stones in common bile duct Via T tube cholangiography after common bile duct exploration[J].Medicine,2015,94(26): e1043~e1043.
[8] 张超.腹腔镜胆总管探查术治疗胆总管结石临床效果观察[J].中国现代普通外科进展,2016,19(10):808~810. |
|
|
|
2017, Vol. 23 
