| Objective: Comparative analysis of this study were described with laparoscopy, duodenoscopy, choledochoscope in treatment of intrahepatic and Extrahepatic Bili Duct Stone Disease, and to explore the best way to a joint application under different circumstances.Methods: There were 63 patients suffer from intrahepatic and Extrahepatic Bili Duct Stone Disease from February 2005 to Octobe 2008. 1. Cholecystolithiasis combined 63 cases of choledocholithiasis were randomly divided into two groups: 32 cases in A group treated with joint laparoscopic duodenoscope, and 31 cases in B group, treated with Laparoscopy combined with choledochoscope. Comparison of patients with operation time, blood loss, postoperative pain, length of stay, hospital costs, complications, residual stone rate, rate of stones from the net. Inter-group comparison using one-way ANOVA, repeated measurement data using repeated measures analysis of variance of data.Results:1. Choledocholithiasis combined gallstone: ERCP + EST + LC than LBCD+ LC significantly shorter hospital stay, less trauma, but the increase in hospitalization costs.2. Hepatolithiasis Application of laparoscopy or laparotomy with intraoperative and postoperative cholangioscopy can significantly reduce the rate of postoperative residual stones.Conclusions:1. Laparoscopic cholecystectomy (LC) with the trauma and rapid recovery advantages for the majority of surgeons agree that a simple cholecystectomy as the preferred method.2. Common bile duct stones can be used for the first treatment of choice for duodenoscope.3. Choledocholithiasis cholelithiasis combined ERCP + EST + LC than LCBD significantly shorter hospital stay, less trauma, but the increase in hospitalization costs.4. Hepatolithiasis surgical treatment is still difficult, the application of laparoscopy or laparotomy with intraoperative and postoperative cholangioscopy can significantly reduce the rate of residual stones and recurrence rate. |
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