Objective To study the practicality and clinical efficacy of treating extrahepatic biliary stones through one-stage suture with plastic stent for bile duct under the combined use of laparoscopy,biliary endoscopy,and gastric endoscopy.Methods The clinical data of 60 patients with extrahepatic bile duct stones in our hospital from January 2020 to December 2022 were retrospectively collected.The patients were divided into two groups according to different bile duct drainage methods.The observation group:one-stage bile duct suture with plastic bile duct stent placement under multicamera combination.The control group:laparoscopic choledochotomy exploration+T-tube drainage.The operation time,intraoperative blood loss,hospitalization time,treatment cycle,and hospitalization cost of the two groups were compared.Results Both groups successfully completed the operation without intermediate openings.The postoperative hospitalization time and medical cost of the PS group were significantly less than those of the control group(P<0.05).There was no significant difference in the comparison of operation time,intraoperative bleeding,postoperative ventilating time,and stone removal rate(P>0.05).There were 6 cases of complications in this study,which improved after treatment.The total incidence of postoperative complications was 3.33% in the PS group and 16.67% in the control group,with no statistically significant difference(P>0.05).Conclusion Multi-mirror combined bile duct plastic stent placement for bile duct one-stage suture treatment of extrahepatic bile duct stones can shorten the hospitalization time,reduce the cost,and have high surgical safety,which is suitable for the promotion of primary hospitals and has good social and economic benefits.
Multiscope combinedPlastic stent for bile ductExtrahepatic bile duct stonesOne-stage suture
万方数据
维普
