Retrospective And Comparative Analysis On The Therapeutic Effect Of Combining LC And LCHTD With The Traditional Open Surgery

Objective:Comparatively analyzes the differentiation of therapeutic effect and clinical value ofcombining Laparoscopic cholecystectomy（LC）and The laparoscopic video berscopiccholedochoihepatocholangiolithotomy T-tube drainage(TCHTD) with the traditional opensurgery(OS) on the patients with cholecystolithiasis and choledocholithiasis.Methods:Collecting the clinical data of385cases of combining LC and LCHTD treated for thepatients with cholecystolithiasis and choledocholithiasis, from1993.10to2011.10, andstatistics of296cases of combining Open Choledocholithotomy (OC) and OpenCholedocholithotomy T-tube Drainag (OCHTD) from1990.1to1994.10treated at forensicsursery of the second hospital affiliated to Shandong university of Traditional Chinesemedicine. According with the inclusion criteria and the exclusion standard, the number ofthe laparoscopic surgical (LC+LCHTD) is218, open surgery (OC+OCHTD) is175.Retrospectively and comparatively analyzes the different factors between the two groups,such as operating time, the highest temperature within three days after operation, therecovery time of gastrointestinal function after operation, postoperative complications,hospital stays and the residual stone rate.Result:1. Preoperative materialThere was no statistical difference between gender, age and medical complicationsthrough the statistical analysis on patient’s clinical data by statistical software in twogroups, and the outcome is P>0.05. The clinical data of two groups were comparable. 2. Operating timeThere was no statistical significance in operating time between two groups forP>0.05.3. Postoperative recoveryAfter the statistical analysis we found that the factors such as the highest temperaturewithin three days, hospital stays and the recovery time of gastrointestinal function afteroperation were significant difference between two groups for P<0.05. The highesttemperature within three days, the recovery time of gastrointestinal function after operationand the hospital stays in L group was below the average of O group for all.4. Postoperative ComplicationsThe difference between two groups in the postoperative complications was notstatistically significant for P>0.05.5. The residual stone rateThe difference between two groups in residual stone rate was not statisticallysignificant for P>0.05.Conclusion:The effect of combining Laparoscopic cholecystectomy (LC) with the Laparoscopicvideo Choledochoiberscopic Hepatocholangiolithotomy T-tube Drainage (TCHTD) intreating the patients with cholecystolithiasis and choledocholithiasis is exactly curative.Compared with traditional open surgery, it has some advantages such as fewer traumas,quicker postoperative recovery, shorter hospital stays and more exactly curative effect. Itwill become one of the main methods in treating this disease, when the surgeon master theoperation indication and contraindication strictly. On the conclusion，this method is worthspreading.