| Objective:To explore the clinical efficacy of laparoscopic biliary exploration of phase I suture,and to provide a reference for the clinical treatment of common bile duct stones.Method:From July 2019 to July 2020,the clinical data of 20 patients with laparoscopic common bile duct exploration for phase I suturing（experimental group）of the China-Japan Union Hospital of Jilin University and 35 patients who underwent laparoscopic common bile duct exploration for T-tube drainage（control group）were retrospectively analyzed,and the preoperative data,intraoperative data and postoperative related data of the two groups of patients were compared,and the measurement data of the measurement data group was selected for study using statistical software,and the measurement data of the measurement data group was selected for the study,which was expressed as the mean ± standard deviation The non-conformity was expressed by the median and quartile spacing,and the counting data were measured by χ2,expressed as a percentage;the test result P<0.05 indicated that the difference was statistically significant to analyze the clinical efficacy of laparoscopic common bile duct exploration for the first stage of biliary suture.Result:A total of 20 patients were enrolled in the experimental group（phase I suture group）,including 6 males and 14 females,aged 60.15 ±17.49 years old;the control group（T-tube drainage group）included 35 patients,including 20 males and 15 females,aged 63.37 ± 13.28 years old;the differences in sex,age,> age,63.37 years,age,63.37 years,age,63,37,age,The surgical time of the experimental group was（123.00±35.15）min,and the surgical time of the control group was（154.11±51.32）min,and the difference between the two groups was statistically significant（P<0.05）;intraoperative bleeding（32.50±64.59）ml in the experimental group,and intraoperative bleeding（24.14±19.12）ml in the control group.There was no statistically significant difference between the two groups（P>0.05）;statistical analysis of postoperative complications in the experimental group and control group found that there was no statistical difference in the incidence of bile leakage,bleeding and infection（P>0.05）;the incidence of electrolyte disorder and the overall complication rate of the two groups were statistically significant（P<0.05）;The inpatient time of the experimental group was 9（8-10）d,and the hospitalization time of the control group was 12（9-15）d,and the difference between the data of the two groups was statistically significant（P<0.05）;at the same time,the total inpatient cost of the experimental group was 46786.94（37154.77～58250.65）,and the hospitalization cost of the control group was 54066.39（48725.83～67171.78）yuan.The difference between the two groups was statistically significant（P<0.05）;the first exhaust time after surgery was1（1-2）d in the experimental group,and the first exhaust time after surgery in the control group was 3（2-3）d,and the difference between the two groups was statistically significant（P<0.05）;the pain score of the two groups was smaller than that of the control group,and the difference was statistically significant（P<0.05）.Conclusion:1.Laparoscopic biliary exploration of the first stage of suture can reduce the time of surgery,accelerate the recovery of gastrointestinal function,reduce postoperative pain,shorten the length of hospital stay and reduce the cost of hospitalization.2.Laparoscopic biliary tract exploration phase I suture did not differ significantly from the T tube drainage group in terms of complications such as bile leakage,bleeding,and infection,but was better than the T tube drainage group in terms of electrolyte abnormalities and overall complication rate.And after surgery to avoid many inconveniences caused by long-term wearing of T tubes,to ensure the quality of life,reduce the anxiety of patients and their families。3.based on the above advantages,laparoscopic biliary exploration of the first phase of suture is worth promoting. |
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