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| Comparative Analysis of the Efficacy of Laparoscopic Cholecystectomy Plus Common Bile Duct Exploration Surgery and Traditional Open Stone Surgery for Biliary Calculi Combined with Infection in Elderly Patients |
| The People’s Hospital of Huaiji County in Zhaoqing City，Huaiji 526400，China |
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Abstract Objective：To compare the efficacy of laparoscopic cholecystectomy（ LC） combined with common bile duct exploration surgery（ LCBD） and traditional open stone surgery for biliary calculi combined with infection in elderly patients and analysis the advantage of LC combined with LCBD.Method：120 biliary calculi combined with infection patients’ clinical date were retrospectively analyzed.They were divided into the laparoscopic group and the laparotomy group.The laparoscopic group was treated with LC combined with LCBD surgery，the laparotomy group was treated with traditional open stone surgery.Result：The operation time of the laparoscopic group was significantly longer than that of the laparotomy group（P<0.001）.The intraoperative blood loss，number of postoperative analgesic use，postoperative ambulation time， postoperative gastrointestinal function recovery time，postoperative stay days in ICU and postoperative hospital stays of the laparoscopic group were significantly lower than those of the laparotomy group（P<0.05）.The postoperative bleeding rate，postoperative bile leakage rate and the incidence rate of postoperative residual stones in the two groups had no significant difference（P>0.05）.The postoperative infection rate of the laparoscopic group was significantly lower than that of the laparotomy group（P<0.05）.Conclusion：In the treatment of Biliary calculi combined with infection in elderly patients，compared with the traditional open stone surgery，LC combined with LCBD has the advantages of less blood loss，faster recovery，shorter hospital stays and lower postoperative infection rates.
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