Clinical Study of Laparoscopy Combined with Choledochoscope in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis
Department of Hepatobiliary Surgery, Suzhou Municipal Hospital, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 26, Daoqian Street, Suzhou, Jiangsu 215000, China
Z. Qiao, Department of Hepatobiliary Surgery, Suzhou Municipal Hospital, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 26, Daoqian Street, Suzhou, Jiangsu 215000, China, E-mail: firstname.lastname@example.org
To observe the clinical effect of combined laparoscopic and choledochoscopic surgery for gallbladder combined with common bile duct stones. A total of 102 patients with gallbladder stones combined with common bile duct stones admitted to our hospital between January 2017 and December 2020 were selected and randomly divided into 51 cases in the study group and 51 cases in the control group. The control group was treated with laparoscopic gallbladder stones treatment and the trial group was treated with laparoscopic combined with choledochoscopic surgery. The surgery-related indexes, serum inflammatory indexes and postoperative complications of patients in the two groups were compared, as well as the treatment efficiency. After treatment, the intraoperative bleeding, average postoperative hospitalization time, 24 h postoperative visual analogue scale score and time to first postoperative venting of patients in the laparoscopic group were significantly better than those in the control group, but the operative time was significantly more than that in the control group and the difference was statistically significant (p<0.05). Before surgery, there was no significant difference between the serum procalcitonin and high- sensitivity C-reactive protein levels of the two groups (p>0.05); 1 d after surgery, the serum procalcitonin and high-sensitivity C-reactive protein levels of the two groups were lower than those before surgery and the study group was significantly lower than the control group and the difference was statistically significant (p<0.05). There was no statistically significant difference between the two groups in terms of total treatment effectiveness (p>0.05). The total complication rate of the test group was lower than that of the control group (p<0.05). The treatment of patients with gallbladder combined with common bile duct stones by laparoscopy combined with choledochoscopy has better clinical treatment effect than laparoscopic gallbladder stones treatment and has the advantages of less trauma, faster postoperative recovery and less inflammatory reaction, which is worthy of clinical promotion and application.