Objective:To study the effect of sequential treatment by duodenoscopic and laparoscopic operation on aged patients with gallstones and concomitant extrahepatic bile duct stones.
Methods: The clinical data of 123 aged patients, who had gallstones and concomitant extrahepatic bile duct stone treated from August 2006 to August 2008, were retrospectively analyzed. The patients were divided into minimally invasive treatment group (62 cases undergoing ERCP + EST + laparoscopic cholecystectomy) and conventional treatment group (61 cases undergoing open cholecystectomy + open common bile duct stone removal surgery with T-tube drainage). The therapeutic efficacies of the two groups were compared.
Results:The length of postoperative hospital stay, time of gastrointestinal function return and overall incidence of postoperative complications in minimally invasive treatment group were significantly reduced compared with those in conventional treatment group (P＜0.05). The difference of operative time between the two groups did not reach statistical significance (P＞0.05).
Conclusions:Sequential treatment by duodenoscopic and laparoscopic operation has the advantages of safety, minimal invasiveness and effectiveness for aged patients with gallstones and concomitant extrahepatic bile duct stones.