Comparative Of Laparoscopic Transcystic Common Bile Duct Exploration And T-tube Drainage For Extrahepatic Bile Duct Stones

Objective:To compare the secondary extrahepatic bile duct stones’ treatment by laparoscopic transcystic common bile duct exploration (LTCBDE) with stent versus T-tube drainage after laparoscopic exploration.Methods:A retrospective analysis in June2011to June2013, two years of58patients with secondary extrahepatic bile duct in our hospital clinical data of laparoscopic exploration, divided into two groups:LTCBDE group of26cases;LCBDE group of32cases, Two cases of intraoperative transit LTCBDE group,comparative indicators include the following:operation time, intraoperative blood loss, hospitalization expenses, postoperative rehydration volume, postoperative tube time, postoperative hospital stay and postoperative complications (bile leakage and bile duct stricture, cholangitis, abdominal cavity infection, biliary tract bleeding, residual stones).Results:Two groups of patients with operation were successful, cured after treatment, no deaths.LTCBDE group have lcase of residual calculi,no bile leakage or biliary tract bleeding, LCBDE group have1cases of bile leakage,2case of residual stones,1case of biliary tract bleeding, two groups had no bile duct stenosis, cholangitis and abdominal cavity infection.LTCBDE group with tube time, postoperative hospitalization expenses, intraoperative blood loss, postoperative hospital stay, less than the LCBDE group, two groups was statistically significant difference (P<0.05);LTCBDE operation time longer than the LCBDE group, two groups was statistically significant difference (P<0.05).Conclusion:Under the condition of strictly grasp the operation indication, LTCBDE compared with the LCBDE, small trauma, less complications, low cost, high postoperative quality of life, can be regarded as safe, effective and economic operation.