Retrospective Evaluation Of The Efficacy Of ERCP+LC And LC+LCBDE In The Treatment Of Cholecystolithiasis And Choledocholithiasis

Objective: To contrast the therapeutic outcomes of ERCP + LC with LC +LCBDE in the disposal of patients with cholecystolithiasis and choledocholithiasis,to retrospectively evaluate the good points and shortcoming of the two surgical approaches,and to benefit from different treatment approaches for different patients in the future.maximum reference.Methods: Case data from 99 patients with cholecystolithiasis associated with choledocholithiasis were summarized.All patients were treated at Hepatobiliary surgery of Qing Hai University Accessorial Infirmary from July 2017 to May 2021,and they were divided into ERCP+LC surgical procedures due to differences in treatment methods.group(43 cases)and LCBDE+LC group(56 cases).The general conditions of admission,clinical laboratory indexes before operation,general conditions during operation(whether or not to convert to laparotomy,total operation time,intraoperative blood loss),clinical laboratory indexes after operation,postoperative blood loss was compared and analyzed by two sets of Early complications of surgery,time spent in hospital,money spent in hospital.Results: There was without noteworthy distinct in the general conditions of admission,preoperative laboratory parameters and imaging data of the patients(P>0.05).There were without noteworthy distinctions in intraoperative blood loss and total operation time(P<0.05).There was without noteworthy distinct in undergone surgery laboratory indexes and whether the surgery was converted to laparotomy(P>0.05),but the postoperative laboratory indexes(ALT,AST,ALP,TBIL,DBIL)in the same surgrey set were lower than those in the surgery set.Before,the distinct was statistically remarkable(P < 0.05).There was without noteworthy distinct between the two sets in postoperative bleeding,stone removal,incision infection,bile leakage,gastrointestinal perforation and cholangitis(P>0.05).In terms of inflammation,the distinct was statistically remarkable(P<0.05).The ERCP+LC surgery group was higher than the LC+LCBDE surgery group(9.21±2.97 days,29660.86±7076.22 yuan,respectively)in terms of hospitalization time and costs(10.42±2.45 days,35069.41±6409.53 yuan,respectively).There was statistical significance(P<0.05).Conclusion: In terms of therapeutic effect,both ERCP+LC and LC+LCBDE groups can achieve satisfactory results.The LC+LCBDE operation group has the characteristics of lower hospitalization time and cost,effectively reduces the incidence of postoperative pancreatitis,and can relieve the stones in the biliary tract of the patient at one time,while the ERCP+LC operation group has a lower blood loss during the operation.However,the specific surgical treatment method used for treatment must also be determined according to the actual situation of the patient,doctor and hospital.