Clinical Study Of Minimally Invasive Treatment For Cholecystolithiasis With Choledocholithiasis

Objective:To investigates the laparoscopic cholecystectomy and common bile duct exploration(LC+ LCBDE) and LC perioperative endoscopic sphincter incision lithotomy(EST + LC) in patients with gallbladder stones with common bile duct calculi surgical curative effect and clinical value.Methods:This study retrospectively selected in March 2012, ~2014 year in August to see a doctor and the first hospital of Shanxi Medical University and china-Japanese friendship hospital in Beijing diagnosed cholecystolithiasis and common bile duct stones, 90 cases,retrospective study of clinical analysis.Depending on the surgical procedure were divided into two groups, group A LC+LCBDE surgical treatment. Group B EST+LC surgical treatment.Results:1.No significant differences between the two groups of patients at baseline(P > 0.05)2.Two groups of patients with postoperative fever, antibiotic use time, anal exhaust time had no significant difference(P > 0.05).3.Two groups of patients with surgical success rate and rate of transfer laparotomy is no statistical difference(p > 0.05)4.In group A complication rate was significantly lower than that in group B was significantly(P <0.05).5.A group of patients with surgery on average is below B group difference was statistically significant(P < 0.05), two groups of average operation time and hospitalization time difference has no statistical significance(P > 0.05).Conclusions:LC + LCBDE treatment of gallbladder and common bile duct stones compared with EST+ LC has the advantage of low complication rates, low operation cost, is worth promoting in clinic.