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| Research on the Clinical Effecacy of the Combination Therappy of Endoscopic Retrograde Cholangiopancreatographp (ERCP) Lithotomy and Laparoscope in Treating Gallstone Combined with Extrahepatic Biliary Duct Stone |
| SU Bin, et al |
| Chengde Central Hospital, Hebei Chengde 067000, China |
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Abstract Objective: To explore the clinical efficacy of endoscopic retrograde cholangiopancreatography (ERCP) + lithotomy in removing extrahepatic bile duct stones, and then laparoscopic cholecystectomy for bile duct stones. Methods: A total of 98 patients with extrahepatic bile duct stones removed by traditional surgery and endoscopic retrograde cholangiopancreatography (ERCP) + choledocholithotomy in the first people's Hospital of Yunnan Province from January 2019 to January 2020 were collected and divided into two groups, 49 cases for each operation. The experimental group was treated by endoscopic retrograde cholangiopancreatography (ERCP) + choledocholithotomy. The control group underwent the traditional surgery. The clinical efficacy, operation, postoperative pain and complications of the two groups were compared. Results: The complete stone clearance rate of the experimental group was higher than that of the control group (χ2=9.910, P<0.05), and the proportion of analgesics used in the experimental group (χ2=7.127, P<0.05), the postoperative ventilation stay of the experimental group were significantly less than those of the control group (t=14.239, P<0.05). There difference of VAS score between the two groups before operation was not significant, but the average VAS score of the two groups decreased significantly after operation (P<0.05), and the VAS score of the experimental group (t=6.341, 10.759, P<0.05) was lower than that of the control group(χ2=6.078, P<0.05). Conclusion: Non-emergency operation patients take ERCP + lithotomy, and then laparoscopic cholecystectomy. This method has significant curative effect, good prognosis and less adverse reactions.
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2022, Vol. 28 
