腹腔镜术中联合十二指肠镜在治疗胆总管结石中的临床价值

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Abstract Objective To investigate the clinical value of laparoscopy combined with duodenoscopy in the treatment of choledocholithiasis. Methods A total of 60 patients with choledocholithiasis admitted to the Second Affiliated Hospital of Shantou University Medical College from July 2019 to February 2021 were selected as the research subjects and they were divided into two groups according to the random number table method, with 30 cases in each group. The research group underwent laparoscopic cholecystectomy (LC)+laparoscopic common bile duct exploration (LCBDE)+endoscopic nasobiliary drainage (ENBD), the control group received LC+LCBDE+T tube drainage. The intraoperative and postoperative conditions of the two groups were compared. Results The extubation time and hospital stay in the study group were shorter than those in the control group, and the hospitalization costs was less than those in the control group, with statistically significant differences (P ＜ 0.05). There were no significant differences in operation time, intraoperative blood loss, bile drainage, and gastrointestinal recovery time between the two groups (P ＞ 0.05). Postoperative re-examination found that the increase rate of blood and urine amylase and abnormal liver function rate in the study group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). There were no statistical significance difference in the incidence of postoperative pancreatitis and bile leakage between the two groups (P ＞ 0.05). Conclusion Laparoscopic combined with duodenoscope placement of nasobiliary duct is safe and effective in the treatment of choledocholithiasis, and have quickly recover after operation with drfinite curative effect.

Key words： Laparoscopic cholecystectomy Laparoscopic common bile duct incision Endoscopic nasobiliary drainage T-tube drainage Primary suture

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	ZHAO Zhixin CHEN Gengzhen▲ XU Ruirui ZHUANG Chaoping HAN Hui WANG Meizi YOU Shaoqin

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ZHAO Zhixin CHEN Gengzhen▲ XU Ruirui ZHUANG Chaoping HAN Hui WANG Meizi YOU Shaoqin. Clinical value of laparoscopy combined with duodenoscopy in the treatment of choledocholithiasis [J]. 中国医药导报, 2022, 19(22): 92-95.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I22/92

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