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| Application of laparoscopy combined with choledochoscopy in patients with cholecystolithiasis |
| MA Chi JIA You-peng▲ |
| Department of Hepatobiliary Surgery,Dalian Central Hospital,Liaoning Province,Dalian 116033,China |
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Abstract Objective To explore the application value of laparoscopy combined with choledochoscopy in patients with cholecystolithiasis.Methods The clinical data of 80 patients with cholecystolithiasis treated in Dalian Central Hospital from January 2017 to December 2019 were retrospectively collected.The data of 37 patients who underwent laparoscopic calculus clearance were included in the control group,and the data of 43 patients who underwent laparoscopic combined with choledochoscopy calculus clearance were included in the observation group.The calculus clearance rate,perioperative index,gastrointestinal function,gallbladder contraction rate and total incidence of complications were compared between the two groups.Results The calculus clearance rate of the observation group was higher than that of the control group,and the difference was statistically significant (P＜0.05).There were no significant differences between the two groups in total operation time,intraoperative bleeding volume and total hospitalization time (P＞0.05).The recovery time of each index of gastrointestinal function in the observation group (the time it took for the first exhaust of the anus,the first defecation,and the recovery of bowel sounds) were shorter than those of the control group,and the differences were statistically significant (P＜0.05).Compared the the gallbladder contraction rate in the observation group before and 3 months after operation,the difference was not statistically significant (P＞0.05).The gallbladder contraction rate of the control group 3 months after operation was lower than that before operation,the difference was statistically significant (P＜0.05).The gallbladder contraction rate of the observation group was higher than that of the control group 3 months after operation,and the difference was statistically significant (P＜0.05).There was no significant difference in the total incidence of complications between the two groups (P＞0.05).Conclusion The application of laparoscopy combined with choledochoscopy in patients with cholecystolithiasis can increase the calculus clearance rate,promote the recovery of gastrointestinal function after surgery,and reduce the impact on the gallbladder contractile function,which has high safety and fewer complications.
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