Abstract：Objective To investigate the clinical effect of laparoscopic choledochoscope combined with cholecystolithiasis and choledocholithiasis. Methods A total of 60 patients with cholecystolithiasis combined with choledocholithiasis admitted to Liaocheng Hospital of Traditional Chinese Medicine from January 2018 to June 2020 were selected as the research objects, and they were divided into the observation group and the control group by random number table method, with 30 cases in each group. The observation group received minimally invasive treatment combined with laparoscopy and choledochoscope, while the control group received traditional surgical treatment. Surgical indicators, visual analogue scale (VAS) score on the first to third day after operation and postoperative complications were compared between the two groups. Results The duration of operation in observation group was longer than that in control group,the amount of intraoperative blood loss was less than that in control group, the times of postoperative anal exhaust and feeding were earlier than those in control group, and the length of hospital stay was shorter than that in control group,the differences were statistically significant (P<0.05). VAS score of observation group was lower than that of control group on the 1st to 3rd day after operation, the difference was statistically significant (P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Laparoscopic choledochoscope combined with cholecystolithiasis and choledocholithiasis has the advantages of less surgical trauma,quick postoperative recovery and low postoperative complications.
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