腹腔镜联合一次性胆道镜在经胆囊管途径行胆总管探查术取石中的临床应用

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Clinical Application of Laparoscopic Combined with Disposable Cholangioscopy in the Exploration of the Common Bile Duct through the Cystic Duct for Stone Removal/LI Qiang， ZHAO Jun， YANG Jianfang， WANG Jun， ZHANG Xiaobin. //Medical Innovation of China， 2025， 22（12）： 042-046

[Abstract]Objective： To explore the clinical application of laparoscopic transcystic common bile duct exploration （LTCBDE） in the treatment of galbladder stones combined with choledocholithiasis.Method： A total of 60 patients with galbladder stones and choledocholithiasis admitted to Department of Hepatobiliary Surgery of the First People's Hospital of Jingdezhen were retrospectively analyzed between October 2023 and April 2024. According to different surgical methods， they were divided into experimental group （ n =25， LTCBDE） and routine surgery group [n=35， laparoscopic cholecystectomy （LC） + laparoscopic common bile duct exploration （LCBDE） + T-tubedrainagel.The operation time，intraoperativeblood loss，totallength of hospital stay，levelsof amylase and total bilirubin， and incidence of surgery-related complications in the two groups were recorded and compared. Result：The operation time and total length of hospital stay in experimental group were shorter than those in routine surgery group （ P <0.05）. At 1 d after surgery， there were no significant differences in amylase （AMS） or total bilirubin （TBIL） between the two groups （ P>0.05 . At 3 days after surgery， the above-mentioned detection levels were significantly decreased in both groups， those were lower in experimental group than those in routine surgery group （ P <0.05）.The incidence of postoperative complications in experimental group was significantly lower than that in routine surgery group （ P <0.05）. Conclusion： LTCBDE has advantages such as rapid recovery and fewer complications， with high clinical application value.

[Key words] Choledocholithiasis Gallbladder stone Transcystic choledochoscopy

First-author's address： Department of Hepatobiliary Surgery， the First People's Hospital of Jingdezhen， Jingdezhen 333000， China

cholecystectomy，LC） + 内镜逆行胰胆管造影术 （ endoscopic retrograde cholangiop pancreatography，

ERCP）， LC+ 腹腔镜胆总管探查（laparoscopiccommonbileductexploration，LCBDE）。（剩余6101字）