Manager Experience of Laparoscope with Choledochoscope in Treatment of Cholecystolithiasis Combined with Choledocholithiasis

Objective To investigate the operation and effect of laparoscope with choledochoscope in treatment of cholecystolithiasis combined with choledocholithiasis.Methods The clinical data of 158 cases with cholecystolithiasis and choledocholithiasis in our hospital from December 2006 to 2010 December were analyzed retrospectively.The patients in the laparoscope treatment group(80 cases) with a choledochus that its diameter was more than 1.0 cm and without the history of upper abdomen surgery received laparoscopic cholecystectomy and choledocholithotomy and t-tube drainage;while the patients in the open cholecystectomy treatment group(78 cases) received open cholecystectomy and choledocholithotomy and t-tube drainage.The therapeutic efficacy of both groups was compared.Results In the laparoscope treatment group,the intraoperative bleeding,recovery of gastrointestinal function and length of stay were(150.4+12.8) ml,(1.6+0.8) d and(7.5+1.2) d,respectively,and less than those in the open cholecystectomy treatment group [(300.5+10.6) ml,(3.6+0.7) d and(13.2+1.8) d,respectively](P0.05).The wound of patients in the laparoscope treatment group was small,and the postoperative pain was light.The incidence(10.8%) of complications in the laparoscope treatment group was obviously lower than that(3.8%) in the open cholecystectomy treatment group,(P0.05),but there was no significant difference in the operative time and hospitalization cost between the two groups(P0.05).Conclusion The laparoscope with choledochoscope,with small trauma,less pains,shorter hospitalization time etc,is superior to the traditional open cholecystectomy treatment.