| Abstract:Objective To explore the clinical effects of endoscopic retrograde pancreatic angiography(ERCP) combined laparoscopic cholecystectomy(LC) in the treatment of gallbladder stones with common bile duct calculi. Methods From oct 2011 to may 2015,112 patients with cholecystocholithiasis underwent either ERCP+LC(observation group, n=73) or coventional surgery(control group, n=39). The treatment success rate, the general status of patients, complications, and the rates of residual stones, and relapse were compared for two groups. Results There was no significant difference in the operative success rate between the two group(94.5% vs 97.4%,P >0.05).The operative time, time to first exhaust, hospitalization time and time to first food for the observation group were significantly better than those for the control group(2.32±1.04days vs 3.25±1.21days,11.05±3.10days vs 18.15±6.84days,2.17±0.52days vs 3.56±0.59days,P<0.05). The rate of complications for the observation group was significationly lower than for the control group(7.50% vs 27.50%,P<0.05). The rates of residual stones, and relapse for the observation group were also significantly lower than those for the control group(1.37% vs 5.13%,9.59% vs 15.38%,P<0.05). Conclusion ERCP/EST combined LC is superior to conventional surgery in the treatment of gallbladder stones with choledocholithiasis with regard to minimal surgical trauma, quicker recovery, and lower rates of complication,relapse. |
