Comparative Analysis of Different Route of Laparoscopy with Choledochoscopy and Laparoscopy with Duodenoscopy in the Treatment of Cholelithiasis Complicated by Choledocholithiasis in Elderly Patients
Abstract: Objective: To study the efficacy of Endoscopic Sphincterotomy (EST) and Laparoscopic Cholecys-tectomy (LC) in the treatment of elderly patients with cholelithiasis and choledocholithiasis. Me-thod: Retrospective analysis of 42 elderly patients with cholecystolithiasis and choledocholithiasis which were treated by EST and LC (scheme A), and 42 cases were analysed in same period of laparoscopy combined with choledochoscopy (scheme B) in the treatment of cholelithiasis complicated by choledocholithiasis in elderly patients in our hospital. Result: Success rate of the two schemes was 100%. No other serious complications were happened. Scheme A was better than scheme B in the bowel moved recovery and hospitalization (22.3 ± 5.7 vs 57.7 ± 8.6; 8.75 ± 3.17 vs 13.16 ± 2.38; P < 0.01). Conclusion: EST joint LC and laparoscopy combined with choledochoscopy are a minimally invasive operation for elderly patients with cholelithiasis and choledocholithiasis, and it is safe, effective, feasible, but scheme A shows good clinical results than scheme B.
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