The clinical efficacy of laparoscopy combined with choledochoscopy for cholelithiasis and choledocholithiasis

W. Qiu, X.-D. Sun, G.-Y. Wang, P. Zhang, X.-H. Du, G.-Y. Lv

Department of Hepatobiliary and Pancreas Surgery, the First Hospital of Jilin University, Changchun, Jilin, China. weiqiu2013@126.com

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• Gastroenterology

OBJECTIVE: To compare and analyze the clinical efficacy of laparoscopy combined with choledochoscopy, and laparoscopy combined with duodenoscopy, for cholelithiasis and choledocholithiasis.

PATIENTS AND METHODS: A total of 105 patients with cholelithiasis and choledocholithiasis from our hospital, from January 2014 to January 2015, were enrolled in this study. All patients weren given primary treatment. After obtaining consent from our hospital Ethics Committee and the patients, all 10529 cases were divided into two groups according to their time of admission. The observation group consisted of 59 cases and the control group consisted of 46 cases. The control group were treated by laparoscopy combined with duodenoscopy (cholecystectomy +ERCP+calculi extraction with an endoscope) and the observation group were treated by laparoscopy combined with choledochoscopy. We then compared the clinical efficacy between the two groups of patients.

RESULTS: The success rate of the first surgery in the observation group, was higher than that in the control group. The time of surgery and intra-operative blood loss of the observation group were less than the control group. The differences had statistical significance p < 0.05). When compared the post-operative fasting and evacuation time, average hospital stay and hospitalization expenses for the observation group were less than those of the control group. The difference had statistical significance (p < 0.05). The prevalence of post-operative complications and recurrence rate in the observation group were statistically significantly (p < 0.05) less than the control group (p < 0.05).

CONCLUSIONS: Laparoscopy combined with choledochoscopy was effective and safe for treating cholelithiasis and choledocholithiasis. Its treatment outcomes might be superior to laparoscopy combined with duodenoscopy.

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