Application of Transparent Cap-assisted Choledochoscopy in Endoscopic Gallbladder-preserving Surgery
| Autor: | Zhuo-Zhao Xie, Wei Jian, Jun-Bo Yang, Jia-Lin Liu, Rui-Kun Zhang, Yi-Ming Zhang, Qing-Feng Xiang, Yan-Zhou Song, Heng-Yu Tian |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Operative Time Treatment outcome Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Laparoscopic cholecystectomy Retrospective Studies Common Bile Duct business.industry Gallbladder Cholecystolithiasis Retrospective cohort study Middle Aged Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Operative time Female Laparoscopy 030211 gastroenterology & hepatology Cholecystectomy business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 30:317-321 |
| ISSN: | 1530-4515 |
| DOI: | 10.1097/sle.0000000000000786 |
| Popis: | Background The gold standard treatment for cholecystolithiasis is laparoscopic cholecystectomy. However, the complications of cholecystectomy have led to adoption of gallbladder-preserving surgery. The study was to investigate significance of transparent cap-assisted choledochoscopy in gallbladder-preserving surgery. Materials and methods This is a retrospective study of patients who underwent gallbladder-preserving surgery by laparoscopic choledochoscopy along with choledochoscopy with or without a transparent cap from January 2018 to September 2018 in our hospital. The differences in the duration of gallbladder exploration, surgical complications, adverse events, and the recurrence of stones within 6 months after surgery were compared between 2 groups. Results Fifty patients underwent laparoscopic choledochoscopy along with choledochoscopy without transparent cap (Group A), while 50 patients underwent laparoscopic along with transparent cap-assisted choledochoscopy (Group B). Gallbladder exploration time was 27.96±12.24 minutes in Group A, and 12.04±6.01 minutes in Group B. One case had stone recurrence within 6 months in Group B, while 8 cases had stone recurrence in group A. Conclusions Comparing with laparoscope combined with choledochoscopy, transparent cap-assisted choledochoscopy has advantages in gallbladder-preserving surgery. |
| Databáze: | OpenAIRE |
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