Comparison of the Effect of Laparoscopic Transcystic Duct Biliary Lithotomy and Choledocholithotomy in the Treatment of Gallstone Combined with Calculus of Bile Duct
Objective:To compare the effect of laparoscopic transcystic duct biliary lithotomy and choledocholithotomy in the treatment of gallstone combined with calculus of bile duct.Method:A total of 102 patients with gallstone combined with calculus of bile duct underwent surgical treatment in the Fifth People's Hospital of Changshu from December 2017 to December 2022 were selected and divided into experimental group and conventional group by random grouping method,with 51 cases in each group.The conventional group was treated with cholecystolithotomy,and the experimental group was treated with laparoscopic transcystic duct biliary lithotomy.The perioperative indexes,inflammatory indexes[interleukin-6(IL-6),C-reactive protein(CRP)]and complication rate between the two groups were compared.Result:The intraoperative blood loss of experimental group was less than that of conventional group,and the surgical time and hospital stay of experimental group were shorter than those of conventional group,the differences were statistically significant(P<0.05).Before surgery,there were no significant differences in IL-6 and CRP levels between the two groups(P>0.05).At 12 h after surgery,IL-6 and CRP in two groups were higher than those before surgery,but those in experimental group were lower than those in conventional group,the differences were statistically significant(P<0.05).The total incidence of complications in experimental group was lower than that in conventional group,and the difference was statistically significant(P<0.05).Conclusion:Compared with cholecystolithotomy,laparoscopic transcystic duct biliary lithotomy for patients with gallstone combined with calculus of bile duct can shorten the surgical time and hospital stay,and accelerate postoperative rehabilitation.
Gallstone combined with calculus of bile ductIntraoperative blood lossSurgical timeHospital stayLaparoscopic transcystic duct biliary lithotomyInflammatory indicatorsIncidence of complications
万方数据
维普
