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      Laparoscopic cholecystectomy plus exploration of the common bile duct in comparison with laparoscopic cholecystectomy and endoscopic sphincterotomy for secondary choledocholithiasis

      2012-08-15 00:54:32ZhangChunju
      外科研究與新技術(shù) 2012年1期

      /Zhang Chunju

      (張春菊,Dept Gener Surg,Shengjing Hosp,China Med Univ,Shenyang 110004)…∥Chin J Gen Surg.-2011,17(11).-736~738

      ObjectiveTo compare the effects between laparoscopic cholecystectomy(LC)+laparoscopic common bile duct exploration(LCBDE)and endoscopic sphincterotomy(EST)+laparoscopic cholecystectomy(LC)for secondary choledocholithiasis.MethodsThe clinical data of patients with secondary choledocholithiasis receiving LC+LCBDE or EST+LC from January 2008 to December 2009 were retrospectively compared.Parameters included operation time,postoperative complication,length of stay,cost of hospitalization.All patients received follow up of 1 year.Enumeration data was analyzed by chisquare test and measurement data was analyzed by t test.ResultsIn this study 87 patients received LC+LCBDE,76 patients received EST+LC.Patients in LC + LCBDE group had shorter hospital stay,less hospital charges and less complications.There was not difference in the procedure success rate and stone remanent rate between the two groups.ConclusionLC+LCBDE could be used as the first choice for patients with gallstones and secondary choledocholithiasis.12 refs,2 tabs.

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