Abstract：Objective To study the clinical effect of combined and doublemirror and totally laparoscope for gallbladder-protected lithotomy treating gallbladder stone.M ethods from January 2014 to August 2015,200 patients with gallbladder stone to our hospitalwere selected and they were divided into research group(n=100)and control group(n= 100)according to different surgical operation way.Research group was treated by laparoscope combined with choledochoscope while control group was treated by totally laparoscope for gallbladder-protected lithotomy.Operation time, blood loss,intestinal peristalsis recovery time and hospitalization days in two groupswas recorded,and the occurrence of postoperative complication was observed in patients.Results Operation time in research group was obviously shorter than that of control group,and blood losswas significantly less than that of control group,the difference was statistically significant(P＜0.05),but two groups of intestinal peristalsis recovery time and hospitalization days had no statistically significant difference(P＞0.05).After 12months,gallbladder wall thickness in research group was obviously smaller that of control group,while the gallbladder contraction function was obviously better that of control group,and there was a statistical difference(P＜0.05).The incidence of complication was 4％in research group,while it was 8％in control group,and there was a statistical difference(P＜0.05).After followed up for 6-12months,all patients recovered well and no recurrence cases.Conclusion The clinical effect of combined and doublemirror is good,fewer complications,and beneficial to maintain the integrity of the gallbladder and improve the function of the gallbladder.It is worthy of clinical promotion and application.
Jain K，Mohapatra T，Das P，et al.Sequential occurrence of preneoplastic lesions and accumulation of loss of heterozygosity in patients with gallbladder stones suggest causal association with gallbladder cancer[J].Ann Surg，2014，260（6）：1073-1080.[12]Guo T，Yang L，Liu Y，et al.Risk factors of cholecystitis after radical gastrectomy for gastric cancer[J].Zhonghua Wei ChangWai Ke Za Zhi，2016，19（4）：406-408.
[13]
Jedlickova H，Dur anskáV，Vašk V.Paraneoplastic scleroderma：are there any clues?[J].Acta Dermatovenerol Croat，2016，24（1）：78-80.
[14]
Lamberts MP，Kievit W，Gerritsen JJ，et al.Episodic abdominal pain characteristics are not associated with clinically relevant improvement of health status after cholecystectomy[J].JGastrointest Surg，2016，20（7）：1350-1358.
[15]
Seifarth FG，Ramirez JR，Magnuson DK.Hybrid single-port cholecystectomy in children[J].JSLS，2013，16（3）：401-405.
[16]
Liu Y，Ji B，Wang Y，et al.Hem-o-lok clip found in common bile duct after laparoscopic cholecystectomy and common bile duct exploration：a clinical analysis of 8 cases[J].Int JMed Sci，2012，9（3）：225-227.
[17]
Völgyi Z，Fischer T，Szenes M，et al.A new type of rendezvous：introduction of laparo-endoscopy in selected patients[J].ZGastroenterol，2012，50（4）：386-392.
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