Laparoscopic Treatment Of Common Bile Duct Stones Combined With Choledochoscopy Clinical Research

Objective: The clinical efficacy of the compare laparoscopy combinedcholedochoscope and traditional laparotomy for common bile duct stonesevaluation of the value of its application.Methods: A retrospective analysis of our hospital from March2010to2011November laparoscopic common bile duct exploration96patients(Laparoscopic group, referred to as the L group) and clinical data over thesame period in102patients underwent open surgery (Laparotomy group,referred to as group O). Two groups were compared operative time, bloodloss, stone clearance rate, postoperative intestinal function recovery time,postoperative pain, postoperative complications (residual stones in bile ductinjury, bile leakage, pulmonary infection and wound infection),length of stayand hospitalization costs.Results: No cases of death, the L group,4cases (4/96) laparotomy,transit rate of4.2%. L amount of blood loss, postoperative intestinal functionrecovery time, postoperative pain, pulmonary infection, wound infectionrate and hospitalization time were significantly less than the laparotomy group (P <0.05), two sets of operative time, hospital costs, bile duct injury,bile leakage and the incidence of residual stones was no significantdifference (P>0.05).Conclusion: Laparoscopy combined with choledochoscopy surgerysafe, effective, minimally invasive, rapid postoperative recovery comparedwith conventional open surgery is superior to the treatment of common bileduct stones are ideal for minimally invasive surgical approach.