The Comparing Research Of The Combined Appliances Of Two Endoscopies With Open Surgery In The Treatment Of Gallstones And Common Bile Duct Stones

Objective:Through comparing the effect of the combined appliances of two endoscopies (LC+LCHTD) with traditional open cholecystectomy and open choledocholithotomy T-tube drainage (OC+OCHTD) in the treatment of gallstones and common bile duct stones, we investigated the value of two endoscopes association for the treatment of gallstones and common bile duct stones.Methods:The clinical data of 63 patients of our hospital underwent gallstones and common bile duct stones were retrospectively analyzed from January 2009 to August 2015.They were devided into 2 groups by different operative ways; 30 patients were treated with laparoscopic cholecystectomy and laparoscopic choledocholithotomy T-tube drainage (LC+LCHTD) in group LC+LCHTD,and 33 patients were treated with open cholecystectomy and open choledocholithotomy T-tube drainage (OC+OCHTD) in group OC+OCHTD.The clinical data of two groups was compared contrasted in the operating time, intraoperative blood loss, incidence of postoperative complications, the trend of total bilirubin after operation, the trend of white blood count, the trend of albumin after operation, time of first defecation after operation, time of hospitalization and cost of hospitalization.Results:Betweeen two groups, there was no statistical difference in the operating time (P>0.05); there were statistical difference in intraoperative blood loss, time of defecation after operation, incidence of postoperative complications and time of hospitalization, the group OC+OCHTD is higher than group LC+LCHTD (P<0.05);there were statistical difference in the cost of hospitalization between group LC+LCHTD and group OC+OCHTD(P<0.05), which was more than the group LC+LCHTD. There was no statistical difference in the rangeability of white blood count and total bilirubin after operation(P>0.05). But there was statistical difference in the trend of albumin after operation, which was lower than group OC+OCHTD in the group LC+LCHTD (P<0.05).Conclusions:Gallstones and common bile duct stones were treated with laparoscopic cholecystectomy and laparoscopic choledocho lithotomy T-tube drainage(LC+LCHTD) is better than open cholecystectomy and open choledocholithotomy T-tube drainage (OC+OCHTD) for its lower intraoperative blood loss, early defecation after operation, lower incidence of postoperative complications and downtrend of albumin, faster recovery, shorter time of hospitalization.Laparoscopic cholecystectomy and laparoscopic choledocholithotomy T-tube drainage (LC+LCHTD) was safe,effective, feasible for the treatment of gallstones and common bile duct stones as guide the operation indications. It could decrease the incidence of postoperative complications and faster the recovery of patients, which had the very wide utilization value.