关键词: 胆道结石, 腹腔镜, 肾镜液电碎石, 疗效, 并发症

Abstract: 【Abstract】〓Objective〓To investigate the feasibility and safety in treating biliary calculi by using laparoscopy combined nephroscopic electrohydraulic lithotripsy. Methods〓Fifty-three patients with cholecystol-ithiasis and oledocholithiasis from January 2013 to January 2014 were included in the study, and underwent surgical treatment in our hospital by using laparoscopy combined nephroscopic electrohydraulic lithotripsy. The operative time, blood loss, hospital stay, were recorded and analyzed. Results〓All operations were completed successfully, without conversion to open surgery. Thirty-five cases underwent electrohydraulic lithotripsy for 3-10 times each case. There were 3 cases of biliary tract traumatic hemorrhage during operation and were controlled by proper management. No uncontrolled bleeding, perforation of bile duct and biliary tract lacerated wound occurred in operation. The hospital stay was 7.1±2.6 days, without any infection cases. Two cases were found residual bile duct stones and were recovered by treatment with digestive endoscopy. No stricture of common bile duct occurred in 6 months of follow-up. Conclusion Laparoscopic combined nephroscopic electrohydraulic lithotripsy is feasible and safe in surgical treatment of oledocholithiasis.

Key words: Biliary calculi, Laparoscopy, Electrohydraulic lithotripsy, Clinical efficacy, Complications