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| Effect of laparoscopic common bile duct on quality of life and prognosis of complex hepatolithiasis |
| Wang Li1, Lin Haiqing2, Fu Lijun3, Hu Chunying3, Wang Haixia3 |
1 Department of Operation Room, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China;
2 Department of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University;
3 Department of General Surgery, Pujiang Second Hospital |
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Abstract Objective To investigate the effect of laparoscopic common bile duct on the quality of life and prognosis of complex hepatolithiasis.Methods One hundred and four patients with complicated hepatolithiasis were divided into the study group (laparoscopic common bile duct, 52 cases) and control group (open bile duct exploration, 52 cases) according to the random number table. The operation-related indexes, quality of life scores, complications and recurrence of stones were observed and compared between the two groups.Results The bleeding volume, operation time, anal exhaust time, treatment cost and hospital stay in the study group were all less than those in the control group, and the differences were statistically significant (t =-12.275, -8.675, -9.962, -14.008, -7.603, all P<0.05). The quality of life of the study group was higher than that of the control group (t=-13.406, P<0.05). The incidence of complications and the recurrence rate of stone of the study group were lower than those of the control group, and the difference was statistically significant ( χ2 =7.081,3.983, all P<0.05).Conclusion Laparoscopic common bile duct exploration of complicated hepatolithiasis can shorten the operation time, reduce the amount of intraoperative bleeding and cost of treatment, can significantly improve the quality of life of patients, and the prognosis is good, so it is worth promoting the application.
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Received: 14 May 2018
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