Clinical analysis of ERCP+LC and LCBDE+LC+T tube drainage in the treatment of choledocholithiasis complicated with cholecystolithiasis(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2022年第11期
- Page:
- 1412-1416
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Clinical analysis of ERCP+LC and LCBDE+LC+T tube drainage in the treatment of choledocholithiasis complicated with cholecystolithiasis
- Author(s):
- WU Zhengdong; XU Gang; BAN Kunfeng
- Department of General Surgery, Nanjing Tongren Hospital, Southeast University School of Medicine, Nanjing 211102, China
- Keywords:
- choledocholithiasis cholecystolithiasis endoscopic retrograde cholangiopancreatography laparoscopic cholecystectomy laparoscopic common bile duct exploration T tube drainage
- PACS:
- R657.4
- DOI:
- DOI:10.3969/j.issn.1005-202X.2022.11.015
- Abstract:
- Abstract: Objective To compare the clinical efficacy of endoscopic retrograde cholangiopancreatography (ERCP) combined with laparoscopic cholecystectomy (LC) versus laparoscopic common bile duct exploration (LCBDE) combined with LC drainage and T tube drainage in the treatment of choledocholithiasis complicated with cholecystolithiasis. Methods According to the surgical procedures, 64 patients with choledocholithiasis complicated with cholecystolithiasis were retrospectively divided into ERCP+LC group (n=34) and LCBDE+LC+T tube drainage group (n=30). The total operation time, intraoperative blood loss, stone removal rate, stone removal success rate, postoperative complications, hospital stay, hospital expenses, satisfaction with the surgery, and quality of life before surgery and in 3 and 6 months postoperatively were compared between two groups. Results There were no significant differences between two groups in stone removal success rate, stone removal rate, postoperative complications, satisfaction with the surgery, quality of life before operation and in 3 and 6 months postoperatively (P>0.05). The total operation time and intraoperative blood loss in ERCP+LC group were significantly less than those in LCBDE+LC+T tube drainage group (P<0.05). The total hospital stay in ERCP+LC group was 37.7% shorter than that in LCBDE+LC+T tube drainage group (P<0.05), but the total hospitalization cost was 24.6% higher (P<0.05). Conclusion Both minimally invasive procedures of ERCP+LC and LCBDE+LC+T tube drainage are effective and safe in the treatment of choledocholithiasis complicated with cholecystolithiasis, but the concrete surgical procedure should be determined based on the comprehensive consideration of the equipments in hospital and the individual situation of patients.
Last Update: 2022-11-25