Comparative analysis of laparoscopic and traditional open common bile duct exploration in treating elderly recurrent common bile duct stones
Objective:To analyze the effect of laparoscopic and traditional open common bile duct exploration in the treatment of elderly patients with recurrent common bile duct stones.Methods:80 elderly patients with recurrent common bile duct stones in the hospital were enrolled from December 2022 to December 2023,and were randomly divided into open group and laparoscopic group with 40 cases in each group.The patients in the open group were treated with traditional open common bile duct exploration,while the patients in the laparoscopic group received laparoscopic common bile duct exploration.The surgical conditions[surgical time,incision length,bleeding volume]and postoperative recovery status[ambulation time,first exhaust time,hospital stay]and levels of stress indicators[cortisol(COR),adrenaline(A)],intestinal barrier function[D-lactic acid,endotoxin]before and after surgery were compared between both groups of patients.Results:There was no significant difference in surgical time between the two groups(P>0.05).The incision length,bleeding volume,ambulation time,first exhaust time and hospital stay in laparoscopic group were significantly shorter or less than those in open group(P<0.05).The levels of COR,A,D-lactic acid and endotoxin in the two groups after surgery were higher than those before surgery,but the levels were significantly lower in laparoscopic group than those in open group(P<0.05).Conclusion:Compared with traditional open common bile duct exploration,laparoscopic common bile duct exploration can better shorten the incision length and reduce the bleeding volume,and the latter one has smaller effect on the intestinal barrier function and is more conducive to the postoperative rapid rehabilitation of patients.
LaparoscopicTraditional open common bile duct explorationElderly recurrent common bile duct stonesPostoperative recovery
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