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ObjectiveTo evaluate the clinical effect of holmium laser lithotripsy combined with fiber choledochoscope in the treatment of intra- and extra-hepatolithiasis. MethodsSixty-four patients who were diagnosed with intra- and extra-hepatolithiasis in our hospital from January 2012 to July 2014 were assigned to receive fiber choledochoscope treatment (33 cases) or holmium laser lithotripsy combined with fiber choledochoscope (31 cases). The one-time stone removal rate and incidence of complications were compared between the two groups. Comparison of categorical data was made by chi-square test, while comparison of continuous data was made by t test. ResultsThe fiber choledochoscope group had a significantly lower one-time stone removal rate and a significantly higher incidence of complications compared with the combination therapy group (72.73% (24/33) vs 93.55% (29/31), χ2=4.868, P=0.027; 21.21%(7/33) vs 323%(1/31), χ2=4.728, P=0.030). ConclusionHolmium laser combined with fiber choledochoscope can effectively increase the one-time stone removal rate and reduce the incidence of complications in patients with intra- and extra-hepatolithiasis. This therapy holds promise for clinical application.
RESUMO
ObjectiveTo evaluate the clinical effect of holmium laser lithotripsy combined with fiber choledochoscope in the treatment of intra- and extra-hepatolithiasis. MethodsSixty-four patients who were diagnosed with intra- and extra-hepatolithiasis in our hospital from January 2012 to July 2014 were assigned to receive fiber choledochoscope treatment (33 cases) or holmium laser lithotripsy combined with fiber choledochoscope (31 cases). The one-time stone removal rate and incidence of complications were compared between the two groups. Comparison of categorical data was made by chi-square test, while comparison of continuous data was made by t test. ResultsThe fiber choledochoscope group had a significantly lower one-time stone removal rate and a significantly higher incidence of complications compared with the combination therapy group (72.73% (24/33) vs 93.55% (29/31), χ2=4.868, P=0.027; 21.21%(7/33) vs 323%(1/31), χ2=4.728, P=0.030). ConclusionHolmium laser combined with fiber choledochoscope can effectively increase the one-time stone removal rate and reduce the incidence of complications in patients with intra- and extra-hepatolithiasis. This therapy holds promise for clinical application.
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Objective To investigate the surgical management of atrophic gallbladder.Methods The clinical data of 85 patients with atrophic gallbladder surgically treated in our hospital from October 2002 to October 2005 were retrospectively analyzed.Results There were 3 cases of iatrogenic bile duct damage,2 of enteral damage,1of post operative remaining small gall bladder,1 of remain ingstonesinthe bile duct and 1 of gallstone ileum.Two 2 patients died after operation.Conclusion Atrophic cholecystitis is always accompanied by many complex clinical problems.Adoption of proper surgical methods can lower the incidence of postoperative complications.