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- W2378647935 abstract "Objective To investigate the feasibility and safety of laparoscopic reoperation combined with choledochoscope in the treatment of intra-and extrahepatic bile duct stones.Methods The 35 patients with intra-and extrahepatic bile duct stones who underwent laparoscopic bile duct reoperation from January 2008 to May 2012 were selected as a laparoscopic treatment group;50 patients with recurrent intra-and extrahepatic bile duct stones who underwent open surgery in the same period were selected as an open surgery group.The t-test was used to compare the two groups in terms of off-bed activity early after operation,recovery of intestinal function,and length of hospital stay;the chi-square test was used to compare the incision infection rate between the two groups.Results Among the 35 cases of intra-and extrahepatic bile duct stones,32 completed laparoscopic surgery,2 had the procedure converted to open surgery due to severe adhesion,and 1 had the procedure converted to open surgery due to subcutaneous emphysema.In the laparoscopic treatment group,the mean operative time of laparoscopic bile duct reoperation was 148 min(range,105-200 min);there were no bleeding and bile leak in the perioperative period.All patients underwent T-tube drainage;postoperative peritoneal drainage was performed for 2-5 d;the mean length of hospital stay after operation was 5-8 d.No case of incision infection occurred in the laparoscopic treatment group.The laparoscopic treatment group had a significantly better outcome than the open surgery group in terms of time to off-bed activity early after operation,time to recovery of intestinal function,length of hospital stay after operation,and incision infection rate(P0.05).In the laparoscopic treatment group,3 cases had retained bile duct stones,and the stones were taken out through the sinus tract using a fiber choledochoscope at 2 months after operation.All cases were followed up for 6-24 months after operation,and no recurrence was found in the laparoscopic treatment group.Conclusion Laparoscopic bile duct reoperation is minimally invasive and causes few complications,and the patients have rapid recovery after this procedure.Laparoscopic bile duct reoperation is safe and effective in the patients with intra-and extrahepatic bile duct stones who have the indications for this procedure." @default.
- W2378647935 created "2016-06-24" @default.
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- W2378647935 date "2013-01-01" @default.
- W2378647935 modified "2023-09-26" @default.
- W2378647935 title "Clinical effect of laparoscopic reoperation combined with choledochoscope in treatment of intra-and extrahepatic bile duct stones:analysis of 35 cases" @default.
- W2378647935 hasPublicationYear "2013" @default.
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