Clinical Analysis of Cholecystolithiasis and Choledocholithiasis Treated by Laparoscopy Combined with Fibrocholedochoscope

Objective To study clinical application feasibility and value of laparoscopic surgery for cholecystolithiasis and choledocholithiasis. Methods From 2004 to 2011, 84 cases with cholecystolithiasis and choledocholithiasis were treated by laparoscopy combined with choledochofiberscopy (laparoscopic group), the other 96 cases with cholecystolithiasis and choledocholithiasis were treated with open suregy(open suregy group). The curative dffects were compared between the two groups. Rusults All the operations were successful. The laparoscopic group had less blood loss, shorter hospitalization time, earlier postoperative exhaust time, less incision infection rates than the open suregy group with statistically significant differences (P 0.05). The two groups had not statistically significant difference(P 0.05), in bile leakage rate and residual stone rate. Operation time of laparoscopic surgery was longer than open suergy group with statistically significant difference (P 0.05). Conclusion Laparoscopy combined with choledochofiberscopy has the advantages of safety, less injury, less pain, quicker recovery, less complications and shorter hospitalization time in the treatment of cholecystolithiasis and choledocholithiasis, which can replace most of the traditional open surgery.