Abstract:
Objective To compare the effect of laparoscopic hepatectomy combined with choledochoscopy and open surgery on postoperative liver function and prognosis in patients with recurrent hepatolithiasis.
Methods 67 cases of patients who had a history of biliary surgery with recurrent hepatolithiasis from January 2013 to December 2017 were selected as the observation objects. They were divided into laparoscopic group (35 cases received laparoscopic surgery) and open group (32 cases received open surgery) according to the different operation methods. Research data were analyzed by SPSS 20.0 software. The measurement data were expressed as (±s) and were compared by t test while other enumeration data such as incidence of postoperative complications were compared by chi square test. P<0.05 was regarded to be statistically significant.
Results The operation time in laparoscopic group was longer (P<0.05), the intraoperative blood loss, the length of hospitalization and the recovery time of liver function in laparoscopic group were less than those of open group (P<0.05). The mean levels of ALT, AST and TBIL in both groups were lower than those of before operation (P<0.05), and there was no statistical difference between the two groups(P>0.05). The rate of postoperative complications of laparoscopic group was 8.6%, which were less than that of open group 31.3%, and the difference was statistically significant (P<0.05).
Conclusion Laparoscopic hepatectomy combined with choledochoscopy for hepatolithiasis is safe and reliable, and it deserves promotion and application.
Key words:
Recurrence,
Calculi,
Laparoscopes,
Laparotomy,
Comparative effectiveness research
Tao Liu, Xiaoyong Li, Yongtao Gao. Comparison of laparoscopic and open surgery on postoperative liver function and prognosis in the treatment of recurrent hepatolithiasis[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(03): 317-319.