Abstract:Objective:To investigate the value of clinical use of laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis complicated with choledocholithiasis.
Methods :Of 120 patients suffering from cholecystolithiasis combined with choledocholithiasis,56 patients underwent laparoscopic cholecystectomy together with choledocholithotomy and T-tube drainage(LCTD), and 64 patients received routine cholecystectomy and choledocholithotomy plus T-tube drainage by laparotomy. Postoperative administration of analgesics, wound infection, recovery of function of gastrointestinal tract (RFGI), and hospital stay were compared between the two groups.
Results:In both groups, there were no severe complications. Wound infection rate was 12.5 %, average hospital stay was （14.9±3.1） d, and RFGI was （26.1±8.6） h in routine operation group; while in LCTD group, there was no wound infection occurred, hospital stay was （5.8±1.4） d and RFGI was （10.6±3.4） h. There were significant difference in postoperative recovery conditions between the two groups (P< 0. 05~0.01). After 1 month to 3 years follow - up, 2 patients suffered from recurrence of choledocholithiasis in routine operation group.
Conclusions:Laparoscopic cholecystectomy together with choledocholithotomy and T-tube drainage, has the advantages of minimal invasion,quick recovery and short hospital stay with safe and effective outcomes, and, depending on the circumstances, can be selected as a therapeutic choice for cholecystolithiasis complicated with choledocholithiasis.