Journal of Surgery Concepts & Practice ›› 2021, Vol. 26 ›› Issue (03): 254-258.doi: 10.16139/j.1007-9610.2021.03.016
• Original article • Previous Articles Next Articles
Received:
2020-12-30
Online:
2021-05-25
Published:
2022-08-03
CLC Number:
ZHANG Bo, HUANG Xia. Clinical effect and prognosis analysis of laparoscopic cholecystectomy combined with cholangioscopy and duodenoscopy in treatment of gallbladder stones associated with choledocholithiasis[J]. Journal of Surgery Concepts & Practice, 2021, 26(03): 254-258.
项目 | LCBDE+LC 组(n=35) | EST+LC组 (n=25) | t/χ2值 | P值 |
---|---|---|---|---|
平均年龄(岁) | 74.0±8.2 | 72.0±7.1 | 0.892 | 0.376 |
性别 | 2.800 | 0.094 | ||
男 | 12(34.2) | 14(56.0) | ||
女 | 23(65.7) | 11(44.0) | ||
胆总管平均直径(cm) | 1.27±0.27 | 1.21±0.22 | 0.836 | 0.407 |
结石平均直径(cm) | 0.87±0.40 | 0.89±0.20 | -0.161 | 0.873 |
结石数目 | 0.008 | 0.930 | ||
单发 | 15(42.8) | 11(44.0) | ||
多发 | 20(57.1) | 14(56.0) | ||
黄疸 | 14(40.0) | 11(44.0) | 0.096 | 0.757 |
合并症 | ||||
高血压 | 8(22.8) | 8(32.0) | 0.632 | 0.430 |
糖尿病 | 5(14.2) | 5(20.0) | 0.343 | 0.558 |
[1] | 罗昆仑, 方征, 余锋, 等. 腹腔镜经胆囊管开口微切开胆管并一期缝合胆管治疗胆囊结石合并胆管结石[J]. 中华肝胆外科杂志, 2013, 19(5):349-351. |
[2] | 刘坤, 郭伟. 肝胆管结石的微创治疗严格要求原则与内镜治疗[J]. 外科理论与实践, 2021, 26(2):111-114. |
[3] | 韩洪超, 王爱坤, 许洁, 等. LC+LCBDE一期缝合与EST+LC治疗老年胆囊结石合并胆总管结石远期并发症的对比[J]. 中国老年学杂志, 2019, 39(11):2670-2672. |
[4] |
Qin A, Wu J, Qiao Z, et al. Comparison on the efficacy of three duct closure methods after laparoscopic common bile duct exploration for choledocholithiasis[J]. Med Sci Monit, 2019, 25:9770-9775.
doi: 10.12659/MSM.918743 URL |
[5] | 吴文广, 王雪峰. ERCP相关胰腺及十二指肠损伤特点及外科治疗[J]. 中国实用外科杂志, 2015, 35(3):327-329. |
[6] |
Lyu Y, Cheng Y, Li T, et al. Laparoscopic common bile duct exploration plus cholecystectomy versus endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for cholecystocholedocholithiasis: a meta-analysis[J]. Surg Endosc, 2019, 33(10):3275-3286.
doi: 10.1007/s00464-018-06613-w URL |
[7] | Kim H, Shin SP, Hwang JW, et al. Outcomes of laparoscopic common bile duct exploration (LCBDE) after failed endoscopic retrograde cholangiopancreatography versus primary LCBDE for managing cholecystocholedocholithiasis[J]. J Int Med Res, 2020, 48(10):300060520 957560. |
[8] | 张建锋, 李智, 杨帆, 等. LCBDE-LC与ERCP/EST-LC对胆囊结石合并胆总管结石的疗效比较[J]. 中国现代普通外科进展, 2018, 21(3):198-201. |
[9] |
Zheng C, Huang Y, Xie E, et al. Laparoscopic common bile duct exploration: a safe and definitive treatment for elderly patients[J]. Surg Endosc, 2017, 31(6):2541-2547.
doi: 10.1007/s00464-016-5257-3 URL |
[10] | 梁阔, 刘东斌, 刘家峰, 等. 老年患者腹腔镜胆总管探查一期缝合与T管引流的临床疗效分析[J]. 腹腔镜外科杂志, 2017, 22(10):774-777. |
[11] | 朱应乾, 张学文, 张峰, 等. 腹腔镜胆总管探查内置双“J”管一期缝合治疗老年人胆囊结石合并胆总管结石临床疗效分析[J]. 中国老年学杂志, 2020, 40(3):542-544. |
[12] |
Parra-Membrives P, Martínez-Baena D, Lorente-Herce J, et al. Comparative study of three bile duct closure me-thods following laparoscopic common bile duct exploration for choledocholithiasis[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(2):145-151.
doi: 10.1089/lap.2017.0433 pmid: 28976804 |
[13] | 潘德盛, 余杰雄, 左超海. 腹腔镜胆总管探查一期缝合胆道内支架管的应用经验[J]. 岭南现代临床外科, 2018, 18(6):636-639. |
[14] |
Salama AF, Abd Ellatif ME, Abd Elaziz H, et al. Preliminary experience with laparoscopic common bile duct exploration[J]. BMC Surg, 2017, 17(1):32.
doi: 10.1186/s12893-017-0225-y pmid: 28359270 |
[15] | 孙亭立, 淦勤, 刘合春, 等. 自行脱落胆道支架在腹腔镜胆总管探查一期缝合中的临床应用[J]. 赣南医学院学报, 2016, 36(3):417-418+446. |
[16] | 袁超杰, 甄杰生, 伍宏章, 等. 自行脱落胆道支架在腹腔镜胆总管探查一期缝合术中的应用[J]. 实用临床医学, 2016, 17(3):23-25. |
[17] | 郑亚民, 刘东斌, 王悦华, 等. 胆囊结石继发胆总管结石腹腔镜外科手术治疗方法的选择策略[J]. 中华外科杂志, 2019, 57(4):282-287. |
[18] | 邢人伟, 聂寒秋, 张阳, 等. 老年患者腹腔镜胆总管一期缝合与留置T管治疗胆囊结石合并胆总管结石的临床疗效分析[J]. 中国内镜杂志, 2020, 26(6):25-29. |
[1] | ZHENG Minhua, MA Junjun. Laparoscopic colorectal surgery 30 years in China: what we learned [J]. Journal of Surgery Concepts & Practice, 2023, 28(03): 181-185. |
[2] | LUO Yang, ZHONG Ming. Prevention and treatment of anastomotic leakage after laparoscopic anterior resection of low rectal cancer [J]. Journal of Surgery Concepts & Practice, 2023, 28(03): 220-225. |
[3] | LUO Yang, YU Minhao, YE Guangyao, LIN Haiping, GONG Tingyue, LI Hao, ZHONG Ming. Efficacy of intraoperative indocyanine green fluorescence imaging evaluation for preventing anastomotic leakage after laparoscopic rectal cancer surgery [J]. Journal of Surgery Concepts & Practice, 2023, 28(03): 249-253. |
[4] | ZHU Siwei, YIN Xinmin. Laparoscopic radical resection of hilar cholangiocarcinoma: current status and considerations [J]. Journal of Surgery Concepts & Practice, 2023, 28(02): 100-103. |
[5] | YAO Libin, HONG Jian, HOU Dongsheng, ZHU Xiaocheng. Surgical process and technical points of laparoscopic sleeve gastrectomy with transit bipartition [J]. Journal of Surgery Concepts & Practice, 2023, 28(02): 157-161. |
[6] | LIAO Wenqiang, LI Qinyu, YUAN Jianming, WU Weize, WANG Mingliang. Comparative analysis between air-free trans-axillary laparoscopic thyroidectomy and open thyroidectomy [J]. Journal of Surgery Concepts & Practice, 2023, 28(01): 83-87. |
[7] | GUO Liangqi, YAN Zhilong, ZHANG Moucheng. Laparoscopic intragastric surgery in treating of gastric submucosal tumor and early gastric cancer [J]. Journal of Surgery Concepts & Practice, 2022, 27(04): 380-383. |
[8] | WENG Hao, WENG Mingzhe, SHU Yijun, GU Jun, ZHANG Wenjie, WANG Xuefeng. A prospective study on endoscopic papillary balloon dilatation and mechanical lithotripsy in treatment of choledocholithiasis: dilatation or lithotripsy first [J]. Journal of Surgery Concepts & Practice, 2022, 27(03): 210-214. |
[9] | GONG Xiaoyong, CHEN Sheng, REN Jiajun, YE Feng, CAI Qiang, CAI Linyan, LIU Yuanbin, SUI Liang. SpyGlass direct visualization system in treatment of choledocholithiasis patients after treating failure through endoscopic and surgical approach [J]. Journal of Surgery Concepts & Practice, 2022, 27(03): 215-220. |
[10] | HU Gangfeng, HUANG Xia. Comparison of surgical efficiency of laparoscopic cholecystectomy and ERCP in treatment of cholecystolithiasis and choledocholithiasis between one stage approach and two stage procedure [J]. Journal of Surgery Concepts & Practice, 2021, 26(05): 437-440. |
[11] | BIAN Dapeng, FENG Qiushi. Analysis of duodenal papilla diseases associated with recurrent choledocholithiasis [J]. Journal of Surgery Concepts & Practice, 2020, 25(06): 477-480. |
[12] | WANG Hongguang, TAO Liying, GUO Qingmei. Endoscopic retrograde cholangiopancreatography combined with SpyGlass digital system choledochoscope in treatment of gallbladder neck stones and acute cholecystitis [J]. Journal of Surgery Concepts & Practice, 2020, 25(06): 481-485. |
[13] | WU Lisheng, YU Jianwei, LI Yu, DAI Congcong. Laparoscopic sleeve gastrectomy with four ports and posterior gastric wall dissection first: a report of 122 cases [J]. Journal of Surgery Concepts & Practice, 2020, 25(05): 422-425. |
[14] | ZHAO Shiwei, SHEN Ziyun, WANG Jiancheng, PENG Chenghong, ZHANG Jun, WU Weize. Effect of biliary drainage methods on patients with obstructive jaundice undergoing pancreaticoduodenectomy [J]. Journal of Surgery Concepts & Practice, 2020, 25(04): 301-305. |
[15] | LIANG Yun, JIANG Chongyi, ZHAO Liting, WANG Hongwei, HU Pengfei, CAI Zhiwei, WANG Wei. Laparoscopic pancreaticoduodenectomy in elderly patients: a feasibility study [J]. Journal of Surgery Concepts & Practice, 2020, 25(01): 60-64. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||