Clinical Analysis of Two Methods in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis

Zhitang GUO; Kui LONG; Zhangbin CHEN; Weiran LIAO; Jiayun GE; Wei ZHANG

doi:10.12259/j.issn.2095-610X.S20240922

Volume 45 Issue 9

Sep. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(9): 144-150

Zhitang GUO, Kui LONG, Zhangbin CHEN, Weiran LIAO, Jiayun GE, Wei ZHANG. Clinical Analysis of Two Methods in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis[J]. Journal of Kunming Medical University, 2024, 45(9): 144-150. doi: 10.12259/j.issn.2095-610X.S20240922

Citation:

Zhitang GUO, Kui LONG, Zhangbin CHEN, Weiran LIAO, Jiayun GE, Wei ZHANG. Clinical Analysis of Two Methods in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis[J]. Journal of Kunming Medical University, 2024, 45(9): 144-150. doi: 10.12259/j.issn.2095-610X.S20240922

Citation:

Zhitang GUO, Kui LONG, Zhangbin CHEN, Weiran LIAO, Jiayun GE, Wei ZHANG. Clinical Analysis of Two Methods in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis[J]. Journal of Kunming Medical University, 2024, 45(9): 144-150. doi: 10.12259/j.issn.2095-610X.S20240922

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Clinical Analysis of Two Methods in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis

doi: 10.12259/j.issn.2095-610X.S20240922

Zhitang GUO¹,
Kui LONG^{1
,
,},
Zhangbin CHEN¹,
Weiran LIAO¹,
Jiayun GE^{1, 2
,
,},
Wei ZHANG³

1.
Dept. of Hepatobiliary and Pancreatic Surgery，The 2nd Affiliated Hospital，Kunming Medical University，Kunming Yunnan 650101
2.
Dept. of Surgery，The 3rd Affiliated Hospital，Yunnan University of Traditional Chinese Medicine，Kunming Yunnan 650500
3.
Dept. of General Surgery，Nujiang People’s Hospital，Nujiang Yunnan 673200，China

Received Date: 2024-03-26
Available Online: 2024-09-04
Publish Date: 2024-09-25

Abstract

Abstract

Objective To compare the clinical therapeutic effects of Laparoscopic cholecystectomy （LC） + laparoscopic common bile duct exploration and primary suture （LBEPS） and LC + laparoscopic common bile duct exploration through cystic duct （LTCBDE）. Methods The clinical data of 64 patients with cholecystolithiasis complicated with choledocholithiasis treated by LC + LBEPS and LC + LTCBDE from January 2018 to June 2023 were analyzed retrospectively, including 35 patients with LC + LBEPS and 29 patients with LC + LTCBDE. Besides, the operation time, intraoperative bleeding, abdominal drainage time, operation success rate, total hospitalization time, total hospitalization expenses, surgical complications and stone recurrence rate between the two groups were compared. Results There was no significant difference in baseline data, surgical success rate and postoperative complication rate between these two groups （P > 0.05）. The operation time, blood loss, abdominal drainage time, total hospitalization time and total hospitalization cost in the LC + LBEPS group were significantly higher than those in LC + LTCBDE group （P < 0.05）. Conclusions LC + LBEPS and LC + LTCBDE are two effective treatment methods for cholecystolithiasis complicated with choledocholithiasis without T tube. However, LC + LTCBDE has lower operation time, intraoperative bleeding, abdominal drainage time, total hospitalization time and total hospitalization cost, as well as better clinical treatment effect, so that it can be preferred on the premise of meeting surgical indications.
- Laparoscopy,
- Choledochoscopy,
- Gallstone disease,
- Common bile duct stone disease,
- Cholecystectomy,
- Exploration of common bile duct

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References(25)

References

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