Abstract：Objective To investigate the effect of percutaneous choledocholithiasis and choledocholithotomy in the treatment of recurrent choledocholithiasis.Methods A retrospective analysis was performed on 80 patients with recurrent common bile duct stones admitted to People′s Hospital of Puning City from January 2018 to January 2020,who were divided into intervention group(45 cases)and control group(35 cases)according to different surgical methods.Patients in the control group received choledocholithotomy,and patients in the intervention group received percutaneous and hepatobiliary lithotomy.Operation,liver function,stone removal rate and postoperative complications were compared between the two groups.Results The operation time,hospital stay and postoperative exhaust time of patients in the intervention group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,and the postoperative pain score was lower than that in the control group,the differences were statistically significant(P＜0.05).The total bilirubin(TBil),alanine aminotransferase(ALT)and aspartate aminotransferase (AST)levels in the two groups at 1 and 7 days after surgery were lower than those before surgery,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in TBil,ALT and AST between the two groups before surgery,1 and 7 d after surgery(P＞0.05).There were no statistically significant differences in stone removal rate and total incidence of postoperative complications between the two groups (P＞0.05).Conclusion Both percutaneous and choledocholithotomy for the treatment of recurrent choledocholithiasis have significant effects,with little impact on liver function and high safety.However,patients treated by percutaneous and choledocholithotomy have faster postoperative recovery and significantly shorter hospital stay.
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