腹腔镜胆总管探查术治疗胆总管结石的效果研究

doi:10.3969/j.issn.2095-378X.2023.04.008

Abstract

Abstract: Objective To analyze the effect of laparoscopic common bile duct exploration （LCBDE） on common bile duct stones. Methods A total of 200 patients with choledocholithiasis treated from January 2018 to April 2023 were selected as study subjects. According to different surgical methods， they were divided into observation group （LCBDE） and control group （open surgery）， with 100 cases in each group. The intraoperative conditions， postoperative recovery indicators， and complications of the two groups were compared. Results Compared with the control group， the observation group showed a significant reduction in surgical time and bleeding volume （P<0.01）， and performed better in indicators such as bile drainage volume， anal exhaust recovery time， and hospital stay （all P<0.01）. In addition， the overall incidence of complications in the observation group was significantly reduced （P<0.05）. Conclusion LCBDE is a surgical method with less trauma， fast recovery， and few complications， and has a wide application prospect in the treatment of choledocholithiasis.

Key words: Laparoscopy, Common bile duct exploration, Choledocholithiasis, Open surgery, Inflammatory factor

CLC Number:

R657.42

LI Mingli, WANG Caixia. Effect of laparoscopic common bile duct exploration on choledocholithiasis[J]. Surgical Research and New Technique, 2023, 12(4): 266-268.

References

[1] 黄健. 腹腔镜下胆总管切开取石术与经胆囊管取石术治疗胆总管结石伴胆囊结石患者疗效分析[J]. 实用肝脏病杂志,2018,21(2):269-272.
[2] 尹飞飞,李学民,马超,等.腹腔镜胆道镜联合钬激光碎石技术在复杂嵌顿胆管结石治疗中的应用价值研究[J]. 中国现代普通外科进展,2022,25(12):952-955.
[3] 韦邦仅,周信竹,卢绪信.腹腔镜胆道探查术与传统开腹手术治疗胆囊结石并胆总管结石的疗效比较[J]. 海南医学,2018,29(10):121-123.
[4] 杨成志. 腹腔镜胆总管探查术后胆总管一期缝合与T管引流的临床比较[J]. 实用医技杂志,2018,25(6):647-648.
[5] Yang Y, He J C, Cheng S, et al.Clinical efficacies of free endoscopic nasobiliary drainage in primary duct closure following laparoscopic common bile duct exploration: a multicenter retrospective study (a report of 312 cases)[J]. Chinese Journal of Digestive Surgery, 2018, 17(1): 68-75.
[6] 陈铁炯,郑军.腹腔镜联合胆道镜与传统开腹手术治疗胆囊结石合并胆总管结石临床对比分析[J].中华全科医学,2018,16(2):226-228.
[7] Parra-Membrives P, Martínez-Baena D, Lorente-Herce JM, et al.Choledocholithiasis recurrence following laparoscopic common bile duct exploration[J]. Cir Esp (Engl Ed), 2019, 97(6): 336-342.
[8] Singh AN, Kilambi R.Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with gallbladder stones with common bile duct stones: systematic review and Meta-analysis of randomized trials with trial sequential analysis[J]. Surg Endosc, 2018, 32(9): 3763-3776.
[9] 彭沙沙,裴斐,王璟,等.腹腔镜胆总管探查取石术在既往有上腹部手术史患者中的应用[J]. 国际外科学杂志,2020,47(6):374-378.

[1]	ZHONG Rongwei, CHEN Jiayu, LIU Zhanliang. Clinical application of minimally invasive lumbar surgery under spinal endoscope via interlaminar approach [J]. Surgical Research and New Technique, 2023, 12(2): 86-88.
[2]	HUANG Jun. Evaluation of improvement of inflammatory factor levels in patients with pulmonary abscess by CT-guided abscess drainage [J]. Surgical Research and New Technique, 2023, 12(2): 93-95.
[3]	LIN Zhijun, LIN Qiyi, LIN Jinhuo, ZHANG Yujiu, LI Rongyi. Effect of Shangke Guyu Decoction in patients with tibiofibular fracture treated with interlocking intramedullary nail internal fixation [J]. Surgical Research and New Technique, 2023, 12(2): 105-107.
[4]	ZHEN Maochuan, ZHOU Jianyin, SU Yongjie, LI Yuntong, LIU Pingguo. Application value of LC+LCBDE+PDC in patients with choledocholithiasis and cholecystolithiasis [J]. Surgical Research and New Technique, 2023, 12(1): 6-9.
[5]	WANG Pan, YANG Xiuchun. Clinical effect of laparoscopic radical resection on colorectal cancer [J]. Surgical Research and New Technique, 2023, 12(1): 10-13.
[6]	ZHANG Benyue, ZHENG Zhenhua. Comparison of efficacy and safety among hybrid surgery, laparoscopic surgery,1 and open surgery for abdominal incisional hernia [J]. Surgical Research and New Technique, 2023, 12(1): 18-21.
[7]	YIN Tao, HUANG Yan, HAN Kai. Clinical curative effect of anal endoscopy in combination with laparoscopic surgery on early rectal cancer [J]. Surgical Research and New Technique, 2022, 11(3): 167-169.
[8]	LIU Yi'en, WU Xiajun, TAN Fuxian. Clinical effect of laparoscopic surgery combined with methotrexate on ectopic pregnancy and prognosis [J]. Surgical Research and New Technique, 2022, 11(3): 183-186.
[9]	ZHOU Kai, LIU Shuguang. Clinical efficacy of laparoscopic hepatectomy on primary liver cancer [J]. Surgical Research and New Technique, 2022, 11(1): 25-27.
[10]	XIA Kouzhu, ZHANG Jian, DOU Dou, XU Ming. Curative effect of laparoscopic-assisted D2 radical gastrectomy on advanced gastric cancer [J]. Surgical Research and New Technique, 2021, 10(2): 104-106.
[11]	DA Bo, XU Wenhai. Clinical observation of laparoscopic herniorrhaphy in treatment of adult inguinal hernia [J]. Surgical Research and New Technique, 2021, 10(1): 19-21.
[12]	YANG Kai, ZENG Zhifeng. Clinical observation of laparoscopic cholecystectomy in combination with common bile duct exploration and lithotripsy in treatment of cholecystolithiasis combined with choledocholithiasis [J]. Surgical Research and New Technique, 2020, 9(4): 244-245.
[13]	ZHONG Wenxia, LONG Jiaqi, ZENG Jianhong, LI Jiangmei, LI Shuang. Effects of dexmedetomidine on inflammatory factors, plasma D-Dimer, ATⅢ, and FDP during laparoscopic cholecystectomy under general anesthesia [J]. Surgical Research and New Technique, 2020, 9(4): 263-266.
[14]	CHEN Ze, CHEN Qiang. Effect of laparoscopic surgery on adhesive intestinal obstruction [J]. Surgical Research and New Technique, 2020, 9(3): 180-182.
[15]	YANG Xiuchun, WANG Pan. Observation of short-term effect of laparoscopic radical operation for colorectal cancer [J]. Surgical Research and New Technique, 2020, 9(1): 14-16.

Effect of laparoscopic common bile duct exploration on choledocholithiasis

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments