The Clinical Application Of Analysis Of Laparoscopic Treatment Of Common Bile Duct Stones

Objective：Comparison and analysis to evaluate the therapeutic effect and clinicalapplications of three different laparoscopic treatment of gallstones and biliary stones.Methods：Retrospective analysis of127cases of laparoscopic treatment of gallstones andbiliary stones in the clinica data from April2010to August2012in the SecondPeople’s Hospital of Wuxi. Laparoscopic treatment options are divided into three,Group A: Laparoscopic common bile duct exploration via the cystic duct surgery(LTCBDE) group of40cases, Group B:laparoscopic choledochotomy combined withprimary suture(LD+PS) group of35cases, Group C:laparoscopic choledochotomycombined with T tube drainage(LD+TD) group of52cases. Grouping of cases are inaccordance with the indications to choose their own. Comparison of each group,postoperative hospitalization time, cost of hospitalization, abdominal drainage time,postoperative fluid volume, average operation time, postoperative gastrointestinalfunction recovery time, postoperative complications and postoperative hospitalizationtime.Results:The group C was significantly higher than that of the other two groups withpostoperative hospitalization time, cost of hospitalization, abdominal drainage time,postoperative infusion,the difference was statistically significant (P<0.05), there was no statistically significant difference between group A and group B(P>0.05),Theaverage operation time, postoperative recovery time of gastrointestinal function andpostoperative complications in each group had no statistically significantdifference(P>0.05).Conclusions:1. for the patients with different situations, varying degrees of common bile ductstones, under mastering the operation indication strictly,LTCBDE is safe, reliable,effective, with minimum trauma, faster recovery technique can be used as thetreatment of choice.2. The indications of LD+PS compared LTCBDE the wide range,in the solutionof the complications of bile leakage postoperation,the program is the main treatment.3. The indications of LD+TD is widest, but postoperative recovery was slow,high economic costs, and long-term with a T-tube and T-tube-related complications.