International Journal of Clinical Research

Objective To analyze the effectiveness of laparoscopy combined with choledochoscopy in the treatment of patients with extrahepatic bile duct stones. Methods A total of 60 patients with extrahepatic bile duct stones admitted to our hospital from June 2022 to June 2024 were selected and divided into two groups based on the dice rolling method. Thirty cases in the traditional group received traditional laparotomy, and 30 cases in the exploration group received laparoscopy combined with choledochoscopy. The total effective rate, surgery-related indicators, liver function indicators, inflammatory indicators, and complication rates of the two groups were compared. Results The total effective rate of the exploration group was 96.67%, which was higher than that of the traditional group (73.33%) (χ2=6.4052, P=0.0113). The amount of intraoperative blood loss, time to first flatus, time to first getting out of bed, and length of hospital stay were all lower in the exploration group than in the traditional group (P<0.05). Alanine aminotransferase, aspartate aminotransferase, C-reactive protein, and tumor necrosis factor-α were compared in the exploratory group after surgery, which were lower than those in the traditional group (P < 0.05). The incidence of complications was lower in the exploratory group than in the traditional group (P < 0.05). Conclusion The effect of laparoscopy combined with choledochoscopy in the treatment of extrahepatic bile duct stones is significant and worthy of promotion.

Extrahepatic bile duct stones; Laparoscopy; Choledochoscopy