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| Curative Effect of Three Different Minimally Invasive Methods for the Treatment of Common Bile Duct Stones without Gallstones |
| LI Wenxin, HE Zhongye, WANG Kaiyu, et al |
| Department of Hepctobiliary Pancreatic Surgery Cancer Hospital of China Medical University Liaoning Cancer Hospital, Liaoning Shenyang 110042, China |
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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.
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2019, Vol. 25 
