Evaluation of the value of combination of stage Ⅰ in laparoscopic surgery and ERCP in the elderly patients with gallbladder and bile duct stones

doi:10.3969/j.issn.10073205.2016.11.009

Abstract

Abstract: [
Abstract ] Objective Toevaluatethevalueofcombinationofstage Ⅰ inlaparoscopic
surgeryandendoscopicretrogradecholangiopancreatography ( ERCP ) intheelderlypatientswith
gallbladder and bile duct stones.Methods Ninety-six cases of elderly patients with
cholecystocholedocholithiasis , accordingtothedifferentsurgical methods , weredividedinto
laparoscopiccholecystectomy+preoperativeencoscopicretrogradecholangiopancreatography ( 46
cases ) and laparoscopic cholecystectomy + one-stage intraoperative encoscopic retrograde
cholangiopancreatography ( 50cases ) .Theoperationtime , successfulrateofstoneremoval
,
complicationandhospitalizationtime , patientcomfortindexandcostswerecomparedin2groups
ofpatients.Results Theoperationsfortwogroupsofpatientsweresuccessful.Theaverage
operationtimeofcombinationofstage ⅠinlaparoscopicsurgeryandERCP wasshorterthan
laparoscopiccholecystectomy+preoperativeERCP , thedegreeofcomfortofpatientswashigher
thanthatoflaparoscopiccholecystectomy+preoperativeERCPgroup , thehospitalizationtimeand
totalhospitalizationcostswaslessthanlaparoscopiccholecystectomy+preoperativeencoscopic etrogradecholangiopancreatographygroup ( P <0.01 ) .Therewasnosignificantdifferenceinthe
incidenceofcomplicationsbetweenthe2groups ( P >0.05 ) .Conclusion CombinationofstageⅠ
inlaparoscopicsurgeryandERCPcanimprovepatientcomfort , shortenthehospitalizationtime ,
reducethecostofsurgery , alsodoesnotincreasetheincidenceofcomplications , provide
theoreticalandpracticalbasisforfurtherclinicalapplication , soastoprovidethepatientswith
betterservice.

Key words: cholecystocholedocholithiasis , laparoscopy , cholangiopancreatography, endoscopic
retrograde

CHEN Shengxiong, LIU Jianhua*， YAN Changqing， WANG Wenbin， ZHOU Zegao， QIN Jianzhang. Evaluation of the value of combination of stage Ⅰ in laparoscopic surgery and ERCP in the elderly patients with gallbladder and bile duct stones[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.11.009.

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Evaluation of the value of combination of stage Ⅰ in laparoscopic surgery and ERCP in the elderly patients with gallbladder and bile duct stones

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