International Journal of Clinical Research

Objective To investigate the clinical effect of laparoscopy combined with choledochoscopy in the treatment of patients with cholecystolithiasis and extrahepatic cholecystolithiasis. Methods 56 patients with cholecystolithiasis complicated with extrahepatic cholecystolithiasis treated in the First Affiliated Hospital of Xinjiang Medical University were selected as our study subjects, with a time span from January 2013 to December 2023. These patients were divided into control group and observation group by random number table method, with 28 patients in each group. The control group was treated with traditional open surgery. The observation group was treated by laparoscopy combined with choledochoscopy. To compare the difference in effectiveness between the two treatments.. Results After combined laparoscopic and choledochoscopic surgery, the surgical indicators, angiotensin levels and the incidence of postoperative complications in the observation group were significantly better than those in the control group, with significant differences between the two groups (P < 0.05). Conclusion Laparoscopic-assisted choledochoscopy has been shown to be a successful treatment for the simultaneous management of gallstones and extrahepatic bile duct stones. This method can effectively reduce the amount of blood loss during operation, inhibit angiotensin release, and reduce the risk of postoperative complications.

Laparoscopy; Choledochoscope; Gallbladder stones; Extrahepatic bile duct stones; Clinical effects