Xu Ji Zong , Huo Lei , Cai Jun , Li Ke Ke , Zhang Xiao Ping , Deng Fei , Gong Jiang Bo , Zhang Wei Qiang . Observations on the Mid-and-Long Term Impact of Minimally Invasive Lithotomy and Cholecystectomy on the Living Status of Patients with Cholelithiasis[J]. Journal of Kunming Medical University, 2018, 39(07): 95-100.
Citation: Xu Ji Zong , Huo Lei , Cai Jun , Li Ke Ke , Zhang Xiao Ping , Deng Fei , Gong Jiang Bo , Zhang Wei Qiang . Observations on the Mid-and-Long Term Impact of Minimally Invasive Lithotomy and Cholecystectomy on the Living Status of Patients with Cholelithiasis[J]. Journal of Kunming Medical University, 2018, 39(07): 95-100.

Observations on the Mid-and-Long Term Impact of Minimally Invasive Lithotomy and Cholecystectomy on the Living Status of Patients with Cholelithiasis

Funds:

基金: 湖北省自然科学基金资助项目 (2017CFB455);

  • Received Date: 2018-02-23
  • Objective To investigate the mid-and-long term impact of minimally invasive lithotomy and cholecystectomy on the living status of patients with cholelithiasis. Me thods From January 2008 to January 2013, 214 cases who had received minimally invasive surgery in cholecyst (either minimally invasive lithotomy or minimally invasive cholecystectomy) and complied with study eligibility were recruited in the study. They were divided into minimally invasive lithotomy group and minimally invasive cholecystectomy group with 107 cases in each group. All the surgeries were performed by an experienced senior chief physician. Follow-up in half a year, 3 years and 5 years after surgery was conducted to evaluate the complications of cholecyst, liver and pancreas in patients, as well as their LDQ digestive function between the two groups. Re s ults There was no significant different in the complications of cholecyst, liver and pancreas in patients of two groups in 6 months after surgery (P >0.05) .while, the LDQ digestive function was worse in patients receiving minimally invasive lithotomy group than in minimally invasive cholecystectomy group 6 months after surgery (P <0.05) . In 3 years and 5 years after the surgery, evaluation on complications of cholecyst, liver and pancreas in both groups showed significant difference (P<0.05) , however, the evaluation of LDQ digestive function showed no difference between the two groups (P >0.05) . Conclusion From a long-term perspective, for patients with complex cholecystolithiasis, physicians may choose the minimally invasive cholecystectomy for better effects.
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