Objective To explore the clinical efficacy of three minimally invasive methods in the treatment of choledocholithi-asis.Methods The clinical data of 109 patients with choledocholithiasis admitted to the Department of Hepatobiliary and pancreatic Surgery of Taihe County People's Hospital from December 2021 to November 2023 were retrospectively analyzed,and grouped accord-ing to treatment methods:LCBDE+primary choledochal suture group(32 cases),LCBDE+external choledochal T drainage group(40 cases)and ERCP group(37 cases)were observed.The average length of hospital stay,average hospitalization cost,operation time,intraoperative blood loss,conversion rate of laparotomy,postoperative complications,and serological indexes,and success rate of stone removal of the three groups were observed.Results All the patients in the three groups were discharged after successful surgery,and none of them had any serious complications and deaths.The amount of blood loss in the external drainage group(39.58±7.84)ml was smaller than that in the primary suture group(29.13±6.61)ml,and both were smaller than that in the ERCP group(10.68±2.79)ml,the difference was statistically significant(P＜0.05).The operation time was(94.55±35.37)min in the external T-tube drainage group,(74.53±22.62)min in the primary suture group,and(43.95±13.94)min in the ERCP group.The mean opera-tion time of the three groups had statistical significance(P＜0.05).The average length of hospital stay in the primary suture group was(10.56±1.32)d,which was longer than that in the external T-tube drainage group(12.00±2.29)d,and the average length of hos-pital stay in the two groups was longer than that in the ERCP group(8.00±3.24)d,and there were statistical differences in mean length of hospital stay between the three groups(P＜0.05).Average hospitalization cost:The average hospitalization cost of patients in ERCP group was(24761.35±3124.32)yuan,which was higher than that of patients in primary suture group(18518.03±4259.83)yuan and patients in external T-tube drainage group(18527.54±4431.51)yuan,and the differences were statistically sig-nificant(P＜0.05).There was no significant difference in average hospitalization cost between the primary suture group and the T-tube drainage group(P＞0.05).Conclusion Choledocholithiasis treat-ment with choledochal exploration and T tube drainage is still the sa-fest and safest way to treat choledocholithiasis,but the clinical treatment measures should be combined with various objective conditions and patients'personal wishes to develop an individualized treatment plan.
关键词
胆总管结石/胆总管探查/微创/ERCP
Key words
choledocholithiasis/common bile duce exploration/minimally invasive/ERCP
维普
万方数据