Abstract:Objective:To compare the clinical results of choledocholithotomy by laparoscopic surgery and open surgery.
Methods: One hundred and Sixty-nine patients with cholecystoithiasis combined with choledocholithiasis were divided into laparoscopic surgery group(85 cases of laparoscopic choledocholithotomy, LCD-TD) and open surgery group (84 cases of open choledocholithotomy, OCH-TD). The clinical data in the two groups were compared and analyzed.
Results:The amount of intraoperative bleeding, the recover time of intestinal peristalsis after treatment, length of hospital stay, cases of postoperative pain and biliary fistulas in laparoscopic surgery group were evidently better than those of open surgery group(all P<0.05). No residual calculi were found on T-tube radiogram in both groups.
Conclusions:LCH-TD surgery is minimally traumatic, has good clinical results, and in most cases, can replace open choledocholithotomy.