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| Clinical effect of different surgical methods for the treatment ofcommon bile duct stones |
| WANG Xuewen, WU Yanbin, LI Han, CHENG Yu* |
| Department of Hepatobiliary Surgery,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China |
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Abstract Objective To compare the clinical effects of two surgical methods for the treatment of common bile duct stones.Methods The clinical data of 244 patients with common bile duct stones admitted to Binzhou Medical University Hospital in Shandong Province from January to September 2019 were retrospectively analyzed.All patients underwent surgery.Among them,144 patients underwent laparoscopic common bile duct stone removal (the experimental group),and 100 patients underwent conventional open choledocholithotomy (the control group).The intraoperative and postoperative complications of the two groups were compared and analyzed.Univariate analysis was performed using logistic regression analysis,and the Spearman correlation coefficient was used to test the correlation between the experimental group and the control group and other laboratory data.Results Intraoperative blood loss,anal exhaust time,hospitalization time,operation time and incision infection were statistically significant between the two groups.Postoperative complications such as bi-liary fistula and abdominal infection were not statistically significant.Conclusion Laparoscopic common bile duct incision and stone removal compared with conventional open bile duct incision and stone removal for common bile duct stones can effectively shorten the operation time and reduce intraoperative blood loss and postoperative complications.It has the advantages of small trauma,short hospitalization days and less complications,and it is worthy of promotion in hospitals,especially in primary hospitals.
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Received: 27 December 2019
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