Clinical analysis of the treatment of choledocholithiasis by laparoscopy combined with choledochoscopy

Objective To evaluate the therapeutic effect of choledocholithiasis treated by laparoscopy combined with choledochoscopy.Methods The operative time,blood loss,time to passage of flatus,hospital stay,and rates of postoperative pain and complications were compared between the laparoscopic surgery group (n=50) and open surgery group (n=50).Results In laparoscopic surgery group,the operative time was longer than that in open surgery group(P0.01),whereas the blood loss,time to passage of flatus,hospital stay,rates of postoperative pain and wound infection were obviously lower than those in open surgery group(P0.01).There was no significant difference of the rates of bile leakage and residual stone between the two groups(P0.05).Conclusions The combined application of laparoscopy and choledochoscopy in the treatment of choledocholithiasis is safe and effective,and with the advantage of less trauma and quick recovery.