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WANG Xianlong, XU Quanlin. Effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis[J]. Journal of Clinical Medicine in Practice, 2020, 24(4): 108-111. DOI: 10.7619/jcmp.202004028
Citation: WANG Xianlong, XU Quanlin. Effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis[J]. Journal of Clinical Medicine in Practice, 2020, 24(4): 108-111. DOI: 10.7619/jcmp.202004028
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Effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis

  • 1. Surgery Department, Shangnan County Hospital of Traditional Chinese Medicine, Shangluo, Shaanxi, 726300;

  • 2. The Second Ward in Department of General Surgery, Xi'an Third Hospital, Xi'an, Shaanxi, 710016

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  • Received Date: November 14, 2019
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    • Abstract
  • Objective To explore the effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis. Methods A total of choledocholithiasis 130 cases with laparoscopic secondary surgery for biliary tract were selected and randomly divided into control group and research group, with 65 cases in each group. The control group and research group was treated by laparotomy and laparoscopic surgery respectively. Clinical effect and quality of life score were compared between two groups. Results The intraoperative blood loss, recovery time of gastrointestinal function, duration of pain and hospital stay in the research group were significantly better than those in the control group(P<0.05), and there was no significant difference in operation time between the two groups(P>0.05). On the 14th day after operation, there were no significant differences in the levels of alanine aminotransferase(ALT), aspartate aminotransferase(AST)and total bilirubin(TB)between the two groups(P>0.05), but the levels of AST, ALT and TB in both groups were significantly lower than those before operation(P<0.05). The incidence rate of complications in the research group was 4.62%, which was significantly lower than 47.69% in the control group(P<0.05). The scores of items in SF-36 in the research group were significantly higher than those in the control group(P<0.05). Conclusion Laparoscopic reoperation is effective in treatment of patients with choledocholithiasis, which has the advantages of high safety, small trauma, quick recovery and fewer complications, and it can significantly improve the quality of life of patients.
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  • 王欣, 吴全, 刘亚奇, 等. 腹腔镜联合胆道镜胆管探查取石术治疗胆管结石效果观察及对炎性因子的影响[J]. 临床误诊误治, 2019, 32(1): 62-66.
    赵加泉, 王亮, 吕纯业. 腹腔镜下胆总管切开取石术与开腹手术的临床比较[J]. 实用临床医药杂志, 2015, 19(19): 101-103.
    Iida T, Kaneto H, Wagatsuma K, et al. Efficacy and safety of endoscopic procedures for common bile duct stones in patients aged 85 years or older: a retrospective study[J]. PLoS One, 2018, 13(1): e0190665.
    郝余庆, 蒋徐维, 丁俊. 三种手术方案治疗胆囊结石并胆总管结石的疗效及对血清GGT ALP的影响[J]. 河北医学, 2019, 25(1): 9-13.
    陈华. 腹腔镜胆管癌根治术的临床疗效及对患者应激反应和生活质量的影响[J]. 中国普通外科杂志, 2018, 27(8): 1072-1076.
    胡磊, 侯亚峰. 腹腔镜联合胆道镜经胆囊管胆总管取石的应用进展[J]. 肝胆胰外科杂志, 2019, 31(2): 125-129.
    Czerwonko M E, Pekolj J, Uad P, et al. Laparoscopic transcystic common bile duct exploration in the emergency is as effective and safe as in elective setting[J]. J Gastrointest Surg, 2019, 23(9): 1848-1855.
    欧新强, 毛伯能, 张楷. 腹腔镜联合内镜治疗胆总管复发性结石的临床研究[J]. 实用临床医药杂志, 2017, 21(7): 107-109.
    钱利强, 苏浩渊, 王刚, 等. 胆道手术史患者胆总管结石再行腹腔镜胆道手术42例[J]. 中国现代普通外科进展, 2018, 21(3): 209-211.
    李得福. 置入鼻胆管行引流治疗后经腹腔镜治疗有胆道手术史的胆总管结石患者再行胆总管一期缝合术的安全性及可行性分析[J]. 河北医学, 2018, 24(7): 1148-1152.
    陈武, 张曙光, 刘建通. 腹腔镜胆囊切除胆道探查术与传统开腹手术治疗胆囊结石合并胆总管结石的临床效果[J]. 检验医学与临床, 2018, 15(11): 1654-1658.
    Wang C G, Jiang Q S, Zhu N H, et al. Effect of fast track surgery on clinical efficacy of laparoscopic common bile duct exploration combined with choledochoscopy[J]. World Chin J Dig, 2017, 25(12): 1083.
    李恩忠, 谢福生, 张倩, 等. 腹腔镜手术对胆囊结石合并胆总管结石患者的临床作用[J]. 河北医学, 2018, 24(8): 1362-1365.
    蒋剑. 腹腔镜联合十二指肠镜治疗胆结石合并胆总管结石的疗效观察[J]. 实用临床医药杂志, 2012, 16(21): 42-44.
    王博林, 王塬, 齐亚刚, 等. 两种双镜联合微创术式治疗胆总管结石的临床对比研究[J]. 腹腔镜外科杂志, 2019, 24(4): 285-288.
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