| Objective:Compare ERCP(endoscopic retrograde cholangiopancreatography)and EST(endoscopic sphincterotomy)combined with LC(Laparoscopic cholecystectomy)in different time interval in treatment of cholecystolithiasis and choledocholithiasis,in order to improve the quality of operation.Methods:Select all the 2012 years 10 months-2017 years 10 months,92 cases in the first hospital of Shanxi Medical College for LC and ERCP patients.Among them,30 cases of LC patients were performed 1-3 days after ERCP,37 cases of LC at 4-14 days,25 cases of LC after 14 days of taking stone.Compare the operation difficulty,LC complications and hospitalization time and hospitalization expense index.Results In the operation time of LC index,1-3 day group and more than 14 days group was significantly shorter than 4-14 day group,the difference was statistically significant(P<0.05),1-3 day group and more than 14 days no significant group differences,the three groups of LC conversion to open cholecystectomy,bile duct injury and bile leakage rate was no significant difference(P>0.05),1-3 day group hospitalization time and hospitalization cost was less than 4-14 days group and more than 14 days group,the difference was statistically significant(P<0.05),4-14 group and more than 14 days of hospitalization days group showed no significant difference,there were statistically significant differences in hospitalization costs(P<0.05).Results:The 1-3 days after the ERCP stone removal operation,LC operation has the advantages of low difficulty,short hospitalization time and low hospitalization expenses.It is worthpopularizing.Conclusion:The 1-3 days after the ERCP stone removal operation,LC operation has the advantages of low difficulty,short hospitalization time and low hospitalization expenses.It is worth popularizing. |
