Abstract:
Objective To analyze the short-and medium-term efficacy of percutaneous transhepatic cholelithotomy（PTCSL）and laparoscopic choledocholithotomy（LD）.
Methods The clinical data of 94 patients with simple choledocholithiasis from January 2017 to June 2019 were retrospectively analyzed. They were divided into two groups according to different treatment methods，PTCSL group and LD group，with 47 patients in each group. SPSS23.0 software was used for processing，and the operative indicators were expressed as（
±
s），independent t test was used. The one stone elimination rate，complication rate，and common bile duct stone recurrence rate were expressed in percentage，by
χ2test or Fisher s accurate test.
P<0.05 was considered statistically significant.
Results The operation time，postoperative exhaust time，ambulation time and hospital stay of PTCSL group were shorter than those of LD group（P<0.05）. There was no significant difference in stone recurrence rate，stone removal rate and postoperative complication rate between the two groups within 1，2 and 3 years after surgery（P>0.05）.
Conclusion PTCSL and LD have similar one-time stone removal rate and fewer postoperative complications，but PTCSL has shorter operation time and is more conducive to early postoperative recovery.
Key words:
Choledocholithiasis,
Percutaneous transhepatic cholelithotomy,
Laparoscopic common bile duct lithotomy,
Postoperative complications,
Recurrence
Fengmei Han, Ying Wang, Jingjing Suo. Comparison of PTCSL and LD in the treatment of choledocholithiasis in the near and mid-term follow-up[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(02): 207-209.