Laparoscopic cholecystectomy + choledochotomy combined with choledochoscopy for lithotomy
A total of 84 patients with liver cirrhosis and common bile duct stones were randomly divided into an open group (42 cases, open cholecystectomy + common bile duct exploration and lithotripsy) and a double-endoscopy group (42 cases, laparoscopic cholecystectomy + bile duct stones) according to the random number table method. Choledotomy combined with choledochoscopy for lithotomy). The treatment effects of the two groups were compared. Results The operation time, postoperative fasting time, and hospital stay in the double-endoscopy group were shorter than those in the laparotomy group, and the blood loss was less than that in the laparotomy group (P<0.05). P>0.05). Three days after operation, the serum levels of IL-6, CRP, and EP in the two groups were increased, but those in the double-endoscopy group were lower than those in the laparotomy group (P<0.05). On the 3rd day after operation, the serum ALT and AST levels of the two groups were lower than those before operation (P<0.05), but there was no significant difference between the two groups (P>0.05). The total incidence of postoperative complications in the double mirror group was lower than that in the laparotomy group (P<0.05). Conclusion Laparoscopic cholecystectomy + choledochotomy combined with choledochoscopy for lithotripsy in the treatment of patients with liver cirrhosis and choledocholithiasis can reduce surgical trauma, reduce inflammation and stress response, and reduce postoperative complications.
