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- W2365764987 abstract "Objective To compare the therapeutic effect of laparoscopic cholelithotomy together with cholecystic polypectomy(LCPE)and laparoscopic cholecystectomy(LC).Methods The clinical data of 118 cases who had LCPE(LCPE group)and 118 cases who had LC(LC group)with identical sex,age,entity between Jan.2009 and Jun.2012 in General Hospital of Airforce was analyzed retrospectively.Subsequently all the patients were performed from 3 to 45 months after operation,and their operation time,bleeding volume during operation,the passage of gas by anus time,operation complications,the days in hospital,cost of hospitalization,postoperative complications,short-and long-term quality of life were compared.Some patients in LCPE group were chosen to detect and compare the gallbladder contraction rate before operation and 3 months after operation.Results LCPE had been performed successfully on all 118 cases.In the 118 cases of LCPE group,stones and polyps were taken out clearly;no bleeding,biliary fistula,acute cholecystitis or pancreatitis,secondary common bile duct stones,wound infections and other complications happened after the operation.All the patients could get out of bed at the same day,could eat liquid-or half-liquid-food on the second day and could leave hospital in two to seven days.During the 3-45 months of follow-up in LCPE group,no dyspepsia,abdominal distension,diarrhea and carcinoma of gallbladder occurred.Three cases in LCPE group had muddy stone recurrence in 3,12 and 18 postoperative months respectively,and then their stones disappeared after taking choleretic and removing calculus drugs for one month;another patient in LCPE group took abdominal ultrasonic examination one year later after operation and found a 3 mm-diameter gallbladder polyp regeneration,and subsequently choleretic drugs therapy was taken for 3 months,and then recheck abdominal ultrasound showing the polyp un-enlarged.In the 118 cases of LC group,115 cases performed operation successfully,the other 3 cases were converted to laparotomy during LC due to injury of common hepatic duct,cholecystic artery and duodenum,respectively.During postoperative follow-up period from 3 to 45 months in LC group,9 cases appeared dyspepsia,5 cases still felt interrupted distending pain in superior belly or on the right upper quadrant,7 cases had increasing stool frequency or interrupted diarrhea.The operation time of LCPE group was longer significantly than that in LC group(P0.05)while the bleeding volume during operation,the passage of gas by anus time and postoperative diarrhea rate in LCPE group were fewer significantly than those in LC group.The gallbladder contraction rate of simple cholecystolithiasis and stone together with polyps patients in LCPE group 3 months after operation increased significantly than that before operation(P0.05),while in simple gallbladder polyps patients there was no significant difference(P0.05).Conclusion To choose the suitable case,prehension operation indication,take calculi and polyps clearly out of gallbladder under euthyphoria,and to reliably suture the incision of the gallbladder are the key points to guarantee LCPE successfully.Compared with LC,LCPE has easier and safer manipulation,lesser hemorrhage volume,fewer complications such as dyspepsia,abdominal distension and diarrhea,and a better life quality.Patients who had LCPE have seldom calculi reformation and polyps regeneration." @default.
- W2365764987 created "2016-06-24" @default.
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- W2365764987 date "2013-01-01" @default.
- W2365764987 modified "2023-09-23" @default.
- W2365764987 title "Comparison of laparoscopic cholelithotomy together with cholecystic polypectomy and laparoscopic cholecystectomy" @default.
- W2365764987 hasPublicationYear "2013" @default.
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