关键词: 腹腔镜胆囊切除术, 腹腔镜胆总管探查术, 经内镜逆行胰胆管造影术, 胆总管结石, 胆囊结石

Abstract:

Objective To analyze laparoscopic common bile duct exploration (LCBDE) combined with laparoscopic cholecystectomy (LC) and endoscopic retrograde pancreatic angiography (ERCP) combined with LC in the treatment of common bile duct calculi clinical effect and safety of gallstone disease. Method A total of 300 patients with choledocholithiasis and cholecystolithiasis undergoing surgical treatment in The Affiliated Hospital of Gansu Medical College from February 2020 to February 2022 were randomly divided into LCBDE+LC group and ERCP+LC group, with 150 cases in each group. Patients in the two groups were treated with LCBDE+LC and ERCP+LC respectively, and the operative indicators and postoperative recovery of patients in the two groups were compared. Result There was no case of conversion to laparotomy in the two groups. The operative time and intraoperative blood loss in the ERCP+LC group were less than those in the LCBDE+LC group, but the utilization rate of abdominal drainage tube was lower than that in the LCBDE+LC group (P ＜ 0.05). There were no significant differences in the success rate of intraperitoneal adhesion, stone removal and stone removal rate between 2 groups (P ＞ 0.05). The postoperative exhaust time and recovery time of PATIENTS in LCBDE+LC group were shorter than those in ERCP+LC group (P＜ 0.05). There was no significant difference in the incidence of postoperative complications between 2 groups (P ＞ 0.05). Conclusion Both LCBDE+LC and ERCP+LC can achieve good surgical results in the treatment of choledocholithiasis and cholecystolithiasis, but the choice of surgical method should be considered comprehensively according to the age of patients, clinical symptoms and other factors, so as to improve the success rate of treatment.

Key words: Laparoscopic cholecystectomy, Laparoscopic common bile duct exploration, Endoscopic retrograde cholangiopancreatography, Choledocholithiasis, The gallbladder stones