双镜联合胆总管切开取石术在老年腹部手术史胆总管并胆囊结石患者中的应用效果

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Abstract Objective To investigate the application effect of double endoscopic (laparoscopy + choledochoscopy) combined choledocholithotomy in elderly patients with common bile duct and gallbladder stones with history of abdominal surgery. Methods A total of 100 elderly patients with common bile duct and gallbladder stones with history of abdominal surgery admitted to Jintan Hospital Affiliated to Jiangsu University from January 2017 to January 2020 were selected as the research objects, and divided into experimental group (50 cases) and control group (50 cases) by random number table method. The experimental group was treated with double endoscopic (laparoscopy + choledochoscopy) combined choledocholithotomy, and the control group was treated with open cholecystectomy + choledocholithotomy. The operation duration, intraoperative blood loss, postoperative hospitalization time, total postoperative complication rate,hospitalization economic cost and other related indicators were compared between the two groups. Results There were no significant differences in operation duration and total incidence of postoperative complications between the two groups (P>0.05). The postoperative hospital time, overall hospital stay and postoperative feeding time of the experimental group were shorter than those of the control group, the intraoperative blood loss was less than that of the control group, and the hospitalization cost was lower than that of the control group, and the differences were statistically significant (P<0.05). Conclusion For elderly patients with common bile duct complicated with cholecystolithiasis with history of abdominal surgery, double endoscopic (laparoscopy + choledochoscopy) combined with choledocholithotomy can effectively shorten the hospitalization time of patients, reduce the economic cost of patients, and is safe and worthy of clinical promotion.

Key words： Common bile duct stones Gallbladder stones Laparoscopy Choledochoscopy Safety

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	GE Hailong
	WANG Yu
	YU Weixin

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GE Hailong,WANG Yu,YU Weixin. Application effect of double endoscopic combined choledocholithotomy in elderly patients with common bile duct and gallbladder stones with history of abdominal surgery[J]. 中国当代医药, 2022, 29(24): 61-64.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I24/61

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