Effect of LC+ERCP on Cholecystolithiasis Complicated with Extrahepatic Bile Duct Stones
Objective To explore the effect of laparoscopic cholecystectomy(LC)+ endoscopic retrograde pancreatic angiography(ERCP)used in the cases of gallbladder stone with extrahepatic bile duct calculi.Methods A total of 86 patients with cholecystolithiasis combined with extrahepatic cholecystolithiasis admitted to the Hepatobiliary Depart-ment of Jiuquan People's Hospital from June 2022 to June 2023 were conveniently selected as the study objects,and were divided into observation group and control group according to random number table method,with 43 cases in each group.The control group was treated with open cholecystectomy combined with common bile duct exploration and stone extraction,and the observation group was treated with LC combined with ERCP.The operative effect,post-operative conditions,operative success rate,residual stone rate,glutamic-pyruvic transaminase(ALT)and aspartate aminotransferase(AST)levels were compared between the two groups.Results Compared with the control group,the observation group had less intraoperative blood loss,shorter operation and hospitalization time,less fasting,exhaust and abdominal drainage time,and lower scores by visual simulation score,the differences were statistically significant(all P<0.05).The success rate of operation in observation group(97.67%)was higher than that in control group(81.40%),and the residual stone rate(2.33%)was lower than that in control group(18.60%),the difference was statis-tically significant(χ2=4.467,P<0.05).24 h after operation,ALT and AST levels in observation group were lower than those in control group,and the difference was statistically significant(both P<0.05).Conclusion LC+ERCP can im-prove the operative effect,improve perioperative conditions,promote rehabilitation,greatly increase the success rate of surgery and enhance liver function in patients with cholecystolithiasis combined with extrahepatic bile duct stones.
GallstonesExtrahepatic bile duct calculusLaparoscopic cholecystectomyEndoscopic retrograde cholangiopancreatography
万方数据
维普
