关键词: 内镜下逆行胰胆管造影, 内镜下Oddi’s括约肌切开取石术, 腹腔镜胆囊切除术, 胆囊结石;胆总管结石

Abstract:

【Abstract】 Objective To choose the better operation time of laparoscopic cholecystectomy after the treatment by endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST). Methods A retrospective analysis was performed in 104 patients with choledocholithiasis and cholecystolithiasis from September 2008 to July 2012 in our hospital. All patients underwent ERCP/EST before laparoscopic cholecystectomy (LC), 52 cases received LC in 2 weeks (group A), and another 52 cases in 1 month (group B). The operation bleeding, postoperative complications, the total of hospitalization time and total hospitalization were compared between two groups. Results There was not statistically significant in the intraoperative amount of bleeding between the two groups.(t=0.19,P>0.05). The postoperative complications in group B was less than in Group A (x²=3.47, P<0.05), however the total hospitalization time and total hospitalization cost were lower in group A(t=2.02, 1.97,.P<0.05). Conclusion The following operation with LC in patients of post-ERCP/EST may shorten hospitalization time and lower the hospitalization costs, but increase the incidence of postoperative complications. The operation timing selection should be based on the practical situation of patients.

Key words: ERCP, EST, Laparoscopic cholecystectomy, Cholecystolithiasis, Choledocholithiasis