Influencing factors of recurrence in patients with common bile duct stones after minimally invasive lithotomy
Objective:To analyze influencing factors of recurrence in patients with common bile duct stones after minimally invasive lithotomy.Methods:A cross-sectional study was conducted on 100 patients with common bile duct stones admitted to this hospital from January 2020 to January 2021.All patients were treated with minimally invasive lithotomy.These patients were followed up for 2 years.Then,these patients were divided into recurrence group(n=32)and non-recurrence group(n=68)according to whether the stones recurred or not.The general data of these patients were collected.Logistic regression was used to analyze the influencing factors of recurrence in these patients after minimally invasive lithotomy.Results:After 2 years of follow-up,there were 32 cases of recurrence in the 100 patients with common bile duct stones after minimally invasive lithotomy,accounting for 32.00%,which was set as the recurrence group,and 68 cases without recurrence(accounting for 68.00%)were set as the non-recurrence group.Univariate analysis showed that there were no significant differences in gender,body mass index,serum cholesterol,mechanical lithotripsy,stone diameter and cholecystectomy after endoscopic sphincterotomy between the two groups(P>0.05).The proportions of the patients with age>60 years old,course of disease≥7 d,history of biliary tract surgery,multiple stones,duodenal papillary diverticulum,biliary tract infection and common bile duct angle<45° in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age>60 years old,history of biliary tract surgery,multiple stones,duodenal papillary diverticulum,biliary tract infection and common bile duct angle<45° were all risk factors for the recurrence in the patients with common bile duct stones after minimally invasive lithotomy.Conclusions:Age>60 years old,history of biliary tract surgery,multiple stones,duodenal papillary diverticulum,biliary tract infection and common bile duct angle<45° are the risk factors for the recurrence in the patients with common bile duct stones after minimally invasive lithotomy.
Common bile duct stoneEndoscopic retrograde cholangiopancreatographyEndoscopic sphincterotomyPostoperativeRecurrence
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