Effect of Laparoscopy Combined with Choledochoscope for the Treatment of Cholecystolithiasis and Choledocholithiasis

doi:10.1155/2022/9110676

	Effect of Laparoscopy Combined with Choledochoscope for the Treatment of Cholecystolithiasis and Choledocholithiasis
	Zhang, Chengxin 2; Deng, Qingmei 3,4; Zhang, Jian 2; Li, Duofu 2; Fan, Bin 2; Fang, Jinman 1,3,4
刊名	COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE
	2022-06-03
卷号	2022
ISSN号	1748-670X
DOI	10.1155/2022/9110676
通讯作者	Fang, Jinman(fjman@cmpt.ac.cn)
英文摘要	Objective. Evaluate the influence of laparoscopy combined with choledochoscopy on operation-related indexes, serum total bilirubin (TBIL) level, and abdominal drainage tube extraction time within cases carrying cholecystolithiasis/ choledocholithiasis. Methods. 86 cases of cholecystolithiasis together with choledocholithiasis were chosen for this investigation, and cases were randomly segregated within the control cohort (43 cases, open surgery) and observation cohort (43 cases, laparoscopy combined with choledochoscopy).The operation-related indexes, complete stone clearance rate, postoperative visual analogue scale (VAS) scoring, serum TBIL level, and postsurgical complications/recovery incidence were observed and comparatively analyzed across cohorts. Results. Compared with the control cohort, the incision length, operation duration, postoperative exhaust duration, abdominal drainage tube extraction time, and postsurgery hospitalization in observation cohort were markedly reduced (P < 0.05), the intrasurgical hemorrhaging was markedly reduced (P < 0.05), and the postoperative complication incidences were markedly reduced (P < 0.05). Furthermore, the complete stone clearance rates in the observation cohort were elevated compared with control, but the difference was not statistically significant (P > 0.05).VAS scoring for the observation cohort at 6, 12, 24, and 48 hours postsurgery was markedly reduced (P < 0.05). On the first day after the operation, the serum TBIL levels for the two cohorts were very high and gradually decreased, and the serum TBIL levels in the observation cohort were markedly reduced during day 1, 3, and 5 postsurgery (P < 0.05). Conclusion. Laparoscopy combined with choledochoscopy surgical treatment might reduce the surgery duration, intrasurgery hemorrhaging, postsurgical pain, and liver function damage.
资助项目	Anhui Provincial Health Commission[AHWJ2021b142]
WOS研究方向	Mathematical & Computational Biology
语种	英语
出版者	HINDAWI LTD
WOS记录号	WOS:000811264800002
资助机构	Anhui Provincial Health Commission
内容类型	期刊论文
源URL	[http://ir.hfcas.ac.cn:8080/handle/334002/131351]
专题	中国科学院合肥物质科学研究院
通讯作者	Fang, Jinman
作者单位	1.Univ Sci & Technol China, Hefei 230000, Anhui, Peoples R China 2.Suzhou First Peoples Hosp, Dept Gen Surg 1, Suzhou 234000, Anhui, Peoples R China 3.Chinese Acad Sci, Hefei Canc Hosp, Hefei 230000, Anhui, Peoples R China 4.Chinese Acad Sci, Hefei Inst Phys Sci, Inst Hlth & Med Technol, Hefei 230000, Anhui, Peoples R China
推荐引用方式 GB/T 7714	Zhang, Chengxin,Deng, Qingmei,Zhang, Jian,et al. Effect of Laparoscopy Combined with Choledochoscope for the Treatment of Cholecystolithiasis and Choledocholithiasis[J]. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE,2022,2022.
APA	Zhang, Chengxin,Deng, Qingmei,Zhang, Jian,Li, Duofu,Fan, Bin,&Fang, Jinman.(2022).Effect of Laparoscopy Combined with Choledochoscope for the Treatment of Cholecystolithiasis and Choledocholithiasis.COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE,2022.
MLA	Zhang, Chengxin,et al."Effect of Laparoscopy Combined with Choledochoscope for the Treatment of Cholecystolithiasis and Choledocholithiasis".COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022(2022).