Abstract:

Objective To evaluate the clinical efficacy of laparoscopic and rigid cholangioscopy ballistic lithotripsy for patients with liver and bile duct stones. Method 25 patients who received traditional surgical treatment at Fenggang Hospital in Dongguan City from January 2018 to December 2019 were selected as the control group, and 25 patients who received laparoscopic+rigid cholangioscopy ballistic lithotripsy treatment at Fenggang Hospital in Dongguan City from January 2020 to August 2024 were selected as the observation group. The perioperative parameters, immune function, complications, and liver function between the groups were evaluated. Result The surgical time, gastrointestinal function recovery time, and hospitalization time of the observation group were shorter than those of the control group. The intraoperative bleeding volume was less than that of the control group, and the incidence of residual stones was lower than that of the control group, with significant differences (P ＜ 0.01). Before surgery, there was no significant difference in IgA, IgM, IgG levels, and liver function indicators between the two groups of patients (P ＞ 0.05). After surgery, the levels of IgA, IgM, and IgG in the observation group were higher than those in the control group, while the levels of gamma glutamyl-transferase, aspartate transferase, alanine amino-transferase, conjugated bilirubin, total bile acids, and total bilirubin were lower than those in the control group, with significant differences (P ＜ 0.001). The total incidence of complications in the control group was 24.00%, while in the observation group it was 4.00%, with a significant difference (P ＜ 0.001). Conclusion Laparoscopic and rigid cholangioscopy ballistic lithotripsy for patients with liver and bile duct stones can optimize perioperative parameters, minimize complications, and improve liver function and bile biochemical indicators.

Key words: Laparoscopy, Rigid cholangioscopy ballistic lithotripsy for stone removal, Hepatic calculus