同期内镜逆行胰胆管造影联合腹腔镜胆囊切除术治疗胆总管结石的临床效果

目的 探讨同期内镜逆行胰胆管造影(ERCP)联合腹腔镜胆囊切除术(LC)治疗胆总管结石的有效性与安全性.方法 根据是否同期行ERCP联合LC治疗,将153例胆总管结石患者分为同期组38例和常规组115例.比较两组患者的治疗有效率、麻醉时间、手术时间、术中失血量、胆道造影结石阳性率、胆总管取石率、术后住院时间、住院费用和术后并发症发生率.结果 两组患者治疗有效率、手术时间、麻醉时间、术中失血量、胆道造影结石阳性率、胆总管取石率和术后不良反应发生率比较,差异均无统计学意义(均P>0.05),但同期组术后住院时间及住院费用均少于常规组(P<0.05).结论 同期ERCP联合LC可有效、安全地治疗胆总管结石,并明显缩短住院时间及降低住院费用.

Clinical effect of endoscopic retrograde cholangiopancreatography combined with concurrent laparoscopic cholecystectomy on choledocholithiasis

Objective To explore the efficacy and safety of endoscopic retrograde cholangiopancreatography(ERCP) combined with concurrent laparoscopic cholecystectomy(LC) on choledocholithiasis.Methods A total of 153 patients with choledocholithiasis were divided into concurrent group(n=38) and routine group(n=115) according to whether they were treated with ERCP combined with concurrent LC.The therapeutic effective rate,anesthesia duration,operation duration,intraoperative blood loss,positive rate of cholangiography-revealed stone,common bile duct stone-free rate,postoperative hospital stay,hospitalization costs and incidence rate of postoperative complications were compared between the two groups.Results There was no significant difference in the therapeutic effective rate,operation duration,anesthesia duration,intraoperative blood loss,positive rate of cholangiography-revealed stone,common bile duct stone-free rate or incidence rate of adverse reactions after surgery between the two groups(all P>0.05).The postoperative hospital stay and hospitalization costs of the concurrent group were less than those of the routine group(P<0.05).Conclusion ERCP combined with concurrent LC is effective and safe in the treatment of choledocholithiasis,and it can significantly shorten the hospital stay and reduce the hospitalization costs.