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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Format: | Article |
Language: | English |
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Elsevier
2024-02-01
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Series: | Asian Journal of Surgery |
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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. |
first_indexed | 2024-03-08T06:57:17Z |
format | Article |
id | doaj.art-cf5c557a6c084757968715b0db7f978c |
institution | Directory Open Access Journal |
issn | 1015-9584 |
language | English |
last_indexed | 2024-03-08T06:57:17Z |
publishDate | 2024-02-01 |
publisher | Elsevier |
record_format | Article |
series | Asian Journal of Surgery |
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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