Objective To explore the clinical efficacy of double-mirror combined with cystic duct and common bile duct exploration and incision for extrahepatic bile duct stones.Methods Forty patients with extrahepatic bile duct stones from December 1, 2017 to January 30, 2019 were randomly divided into observation group (double-mirror combined with cystic duct and common bile duct exploration) and control group (laparoscopic common bile duct exploration).The clinical efficacy and safety between the two groups were compared.Results The observation group showed lower incidence rate of complications, operation time, intraoperative blood loss, recovery time of gastrointestinal function, and drainage time of abdominal cavity than the control group (P<0.05).The alanine aminotransferase, alkaline phosphatasey, glutamyl transpeptidase, and cholinesterase of the observation group were superior to those of the control group (P<0.05).Conclusion Double-mirror combined with cystic duct and common bile duct exploration is effective and safe for extrahepatic bile duct stones.
YONG Hai
,
SUN Yongqiang
. Clinical observation of double-mirror combined with cystic duct and common bile duct exploration for extrahepatic bile duct stones[J]. Surgical Research and New Technique, 2019
, 8(2)
: 115
-117
.
DOI: 10.3969/j.issn.2095-378X.2019.02.011
[1] 黄阿方,陈秋强.双镜联合经胆囊管胆总管探查取石术治疗胆总管结石的临床研究[J].浙江创伤外科, 2015,45(1):150-151.
[2] 牟亚刚.双镜联合在胆囊结石合并胆总管结石中的疗效[J].中国现代普通外科进展, 2017, 20(10):787-789.
[3] 李俊昶,赵晓华,宋先旭,等.双镜联合经胆囊管切开胆管取石及T管引流术分析[J].中国药物经济学, 2014,11(9):260-261.
[4] 邹立新,李军,翁永彩,等.腹腔镜胆总管探查经胆囊管内外双重引流一期缝合术在治疗胆总管结石中的应用[J].广东医学, 2016,37(z1):163-165.
[5] 王晓.腹腔镜下联合胆道镜经胆囊颈管治疗胆囊结石合并胆总管结石47例分析[J].临床医学研究与实践, 2016,1(15):138.