Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)

Background: To compare the efficacy of Three-scope combined (laparoscopic, rigid choledochoscopy and electronic choledochoscopy, TS) with laparoscopic hepatectomy (LH) for patients with hepatolithiasis (HL). Methods: Between January 2019 and January 2020, 118 consecutive patients with HL treated wit...

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Main Authors: Wu Pan, JunJie Li, LingPeng Liu, Yong Huang, MingWen Huang, HongLiang Liu
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Asian Journal of Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958423020535
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author Wu Pan
JunJie Li
LingPeng Liu
Yong Huang
MingWen Huang
HongLiang Liu
author_facet Wu Pan
JunJie Li
LingPeng Liu
Yong Huang
MingWen Huang
HongLiang Liu
author_sort Wu Pan
collection DOAJ
description Background: To compare the efficacy of Three-scope combined (laparoscopic, rigid choledochoscopy and electronic choledochoscopy, TS) with laparoscopic hepatectomy (LH) for patients with hepatolithiasis (HL). Methods: Between January 2019 and January 2020, 118 consecutive patients with HL treated with TS (TS group, n = 57) or LH (LH group, n = 61) were analyzed in this study. Perioperative and long-term outcomes, including operative time, intraoperative blood loss, blood transfusion, postoperative bowel function recovery time, postoperative hospital stay, complication rate, stone removal rate, and stone recurrence rate, were compared and analyzed between the two groups. Results: Compared with the LH group, the TS group had significantly lower intraoperative blood loss and transfusions, significantly shorter operative time and hospital stay, and fewer complications (P < 0.05 for all). There was no significant difference in the final stone removal rate, stone recurrence rate and postoperative bowel function recovery time (P > 0.05 for all). Conclusion: TS is a safe and effective treatment for HL and is superior to LH in terms of overall treatment outcome and complications.
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spelling doaj.art-cf5c557a6c084757968715b0db7f978c2024-02-03T06:35:17ZengElsevierAsian Journal of Surgery1015-95842024-02-01472946952Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)Wu Pan0JunJie Li1LingPeng Liu2Yong Huang3MingWen Huang4HongLiang Liu5Department of General Surgery, The Second Affiliated Hospital of Nanchang University, Jiangxi Province, 330000, ChinaDepartment of General Surgery, The Second Affiliated Hospital of Nanchang University, Jiangxi Province, 330000, ChinaDepartment of General Surgery, The Second Affiliated Hospital of Nanchang University, Jiangxi Province, 330000, ChinaDepartment of General Surgery, The Second Affiliated Hospital of Nanchang University, Jiangxi Province, 330000, ChinaDepartment of General Surgery, The Second Affiliated Hospital of Nanchang University, Jiangxi Province, 330000, ChinaCorresponding author. No. 1, Minde Road, Nanchang city, China.; Department of General Surgery, The Second Affiliated Hospital of Nanchang University, Jiangxi Province, 330000, ChinaBackground: To compare the efficacy of Three-scope combined (laparoscopic, rigid choledochoscopy and electronic choledochoscopy, TS) with laparoscopic hepatectomy (LH) for patients with hepatolithiasis (HL). Methods: Between January 2019 and January 2020, 118 consecutive patients with HL treated with TS (TS group, n = 57) or LH (LH group, n = 61) were analyzed in this study. Perioperative and long-term outcomes, including operative time, intraoperative blood loss, blood transfusion, postoperative bowel function recovery time, postoperative hospital stay, complication rate, stone removal rate, and stone recurrence rate, were compared and analyzed between the two groups. Results: Compared with the LH group, the TS group had significantly lower intraoperative blood loss and transfusions, significantly shorter operative time and hospital stay, and fewer complications (P < 0.05 for all). There was no significant difference in the final stone removal rate, stone recurrence rate and postoperative bowel function recovery time (P > 0.05 for all). Conclusion: TS is a safe and effective treatment for HL and is superior to LH in terms of overall treatment outcome and complications.http://www.sciencedirect.com/science/article/pii/S1015958423020535HepatolithiasisLaparoscopic hepatectomyCholedochoscopyLithotripsyTreatment
spellingShingle Wu Pan
JunJie Li
LingPeng Liu
Yong Huang
MingWen Huang
HongLiang Liu
Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)
Asian Journal of Surgery
Hepatolithiasis
Laparoscopic hepatectomy
Choledochoscopy
Lithotripsy
Treatment
title Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)
title_full Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)
title_fullStr Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)
title_full_unstemmed Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)
title_short Comparing triple scope-combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis (with video)
title_sort comparing triple scope combined bile duct exploration lithotripsy with laparoscopic hepatectomy for hepatolithiasis with video
topic Hepatolithiasis
Laparoscopic hepatectomy
Choledochoscopy
Lithotripsy
Treatment
url http://www.sciencedirect.com/science/article/pii/S1015958423020535
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