The effect of laparoscopy combined with choledochoscope in the treatment of intrahepatic and extrahepatic bile duct stones
Objective To explore the effect of laparoscopy combined with choledochoscope in the treatment of intrahepatic and extrahepatic bile duct stones. Methods A total of 64 patients with intrahepatic and extrahepatic bile duct stones were randomly divided into a control group and a study group,with 32 cases in each group. The control group was treated with open choledocholithotomy,and the study group was treated with laparoscopy combined with choledochoscope. Comparison was made on surgical indexes (operation time,intraoperative blood loss,postoperative exhaust time,length of hospital stay),routine blood indexes[white blood cell count (WBC),platelet count (PLT),neutrophils (N)]and CRP levels,and the incidence of postoperative complications between the two groups. Results In the study group,the operation time was (93.8±8.9) min,the postoperative exhaust time was (1.8±0.7) d and the length of hospital stay was (7.2±2.0) d,which were shorter than (111.9±9.8) min,(3.3±1.0) d and (10.8±1.3) d in the control group;the intraoperative blood loss of (30.3±2.4) ml in the study group was less than (51.3±3.3) ml in the control group (P<0.05). The levels of WBC,N,PLT and CRP in the study group were (11.2±1.1)×109/L,(2.1±0.4)×109/L,(120.4±9.6)×109/L and (10.5±2.8) mg/L,which were lower than (13.5±2.4)×109/L,(3.8±1.2)×109/L,(158.9±10.4)×109/L and (14.0±3.4) mg/L in the control group (P<0.05). The incidence of postoperative complications of 12.5％ in the study group was lower than 34.4％ in the control group (P<0.05). Conclusion During the treatment of intrahepatic and extrahepatic bile duct stones,the application of laparoscopy combined with choledochoscope can optimize the surgical indexes,drastically reduce the CRP level and improve the blood routine indexes,thus reducing the incidence of postoperative complications,with remarkable effects.
LaparoscopyCholedochoscopeIntrahepatic and extrahepatic bile duct stonesSurgical indicatorsSerum inflammatory factor levelsPostoperative complications
万方数据
维普
