Follow-up Study Of Clinical Features And Recurrence Of Calculi Of ERCP And LCBDE

Objective To study the clinical characteristics and the stone recurrence of endoscopic retrograde cholangiopancreatography(ERCP)and laparoscopic common bile duct exploration(LCBDE),and to evaluate the advantages and disadvantages of the two methods.Methods Clinical data of patients with choledocholithiasis admitted to our hospital from January 2012 to January 2016 were retrospectively analyzed.Among them,184 cases had complete clinical data and were divided into ERCP group(94 cases)and LCBDE group(90 cases)according to surgical methous.The gender,age,maximum diameter of common bile duct,maximum diameter of calculi,number of calculi,recurrence of calculi(the first recurrence of common bile duct calculi in patients),length of stay,hospitalization costs and otherrelated indicators were analyzed between two groups.Results There were significant differences in age,maximum diameter of stones and length of hospital stay between the two groups(P<0.05).There were no significant differences in gender,maximum diameter of common bile duct,number of stones and hospitalization expenses(P>0.05).The first recurrence rate of choledocholithiasis was 9(9.57%)in ERCP group,and 10(11.11%)inLCBDE group,but the difference was not statistically significant(P>0.05).Conclusion The two methods are effective for the treatment of choledocholithiasis.Elderly patients(>75 years old)tend to choose ERCP,while patients with large stone diameter(? 1.5 cm)tend to choose LCBDE.The hospitalization time of ERCP group was shorter,and the recurrence ERCP group was lower than LCBDE group,but there was no statistical difference.