Guotai Wang, Xingwu Yang, Qi Wang, Xin Wang, Ning Li
{"title":"一期和两期微创手术治疗胆囊结石合并胆总管结石","authors":"Guotai Wang, Xingwu Yang, Qi Wang, Xin Wang, Ning Li","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.12.011","DOIUrl":null,"url":null,"abstract":"Objective \nTo compare the clinical efficacy of one-stage laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration (LCBDE) with primary suture (PS) and two-staged endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) followed by LC in treatment of cholecystolithiasis complicated with choledocholithiasis. \n \n \nMethods \nOf these patients, 58 received one-staged LC+ LCBDE+ PS (the one-stage group), and 71 underwent two-staged ERCP/EST followed by LC (the two-stage group). \n \n \nResults \nThe surgical success rate, residual stone rate, incidence of postoperative complications and operative time showed no significant difference (χ2=0.344, 0.344, 0.108, t=-0.240, all P>0.05) in both the one-staged and two-stage groups. Compared with the two-staged group, the hospital stay was shorter (4.1d vs. 6.9d) and the total hospitalization cost was lower (23 126 yuan vs. 32 982 yuan) in the one-staged group. \n \n \nConclusion \nBoth one-staged LC+ LCBDE+ PS and two-staged ERCP/EST+ LC are safe and effective in the treatment of cholecystolithiasis complicated with choledocholithiasis on base for base basis. \n \n \nKey words: \nCholecystolithiasis; Choledocholithiasis; Cholecystectomy, Laparoscopic","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"One-staged and two-staged minimally invasive surgical procedures in the treatment of cholecystolithiasis complicated with choledocholithiasis\",\"authors\":\"Guotai Wang, Xingwu Yang, Qi Wang, Xin Wang, Ning Li\",\"doi\":\"10.3760/CMA.J.ISSN.1007-631X.2019.12.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo compare the clinical efficacy of one-stage laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration (LCBDE) with primary suture (PS) and two-staged endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) followed by LC in treatment of cholecystolithiasis complicated with choledocholithiasis. \\n \\n \\nMethods \\nOf these patients, 58 received one-staged LC+ LCBDE+ PS (the one-stage group), and 71 underwent two-staged ERCP/EST followed by LC (the two-stage group). \\n \\n \\nResults \\nThe surgical success rate, residual stone rate, incidence of postoperative complications and operative time showed no significant difference (χ2=0.344, 0.344, 0.108, t=-0.240, all P>0.05) in both the one-staged and two-stage groups. Compared with the two-staged group, the hospital stay was shorter (4.1d vs. 6.9d) and the total hospitalization cost was lower (23 126 yuan vs. 32 982 yuan) in the one-staged group. \\n \\n \\nConclusion \\nBoth one-staged LC+ LCBDE+ PS and two-staged ERCP/EST+ LC are safe and effective in the treatment of cholecystolithiasis complicated with choledocholithiasis on base for base basis. \\n \\n \\nKey words: \\nCholecystolithiasis; Choledocholithiasis; Cholecystectomy, Laparoscopic\",\"PeriodicalId\":66425,\"journal\":{\"name\":\"中华普通外科杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-12-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华普通外科杂志\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.12.011\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华普通外科杂志","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.12.011","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
One-staged and two-staged minimally invasive surgical procedures in the treatment of cholecystolithiasis complicated with choledocholithiasis
Objective
To compare the clinical efficacy of one-stage laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration (LCBDE) with primary suture (PS) and two-staged endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) followed by LC in treatment of cholecystolithiasis complicated with choledocholithiasis.
Methods
Of these patients, 58 received one-staged LC+ LCBDE+ PS (the one-stage group), and 71 underwent two-staged ERCP/EST followed by LC (the two-stage group).
Results
The surgical success rate, residual stone rate, incidence of postoperative complications and operative time showed no significant difference (χ2=0.344, 0.344, 0.108, t=-0.240, all P>0.05) in both the one-staged and two-stage groups. Compared with the two-staged group, the hospital stay was shorter (4.1d vs. 6.9d) and the total hospitalization cost was lower (23 126 yuan vs. 32 982 yuan) in the one-staged group.
Conclusion
Both one-staged LC+ LCBDE+ PS and two-staged ERCP/EST+ LC are safe and effective in the treatment of cholecystolithiasis complicated with choledocholithiasis on base for base basis.
Key words:
Cholecystolithiasis; Choledocholithiasis; Cholecystectomy, Laparoscopic