cholelithiasis
Conditions
Interventions
Observation group:Endoscopic retrograde cholangiopancreatography combined with extracorporeal shock wave lithotripsy
Sponsors
The First Affiliated Hospital of Nanchang University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: (1) 18-80 years old, no gender limitation; (2) Preoperative abdominal ultrasound, CT or MRCP imaging examination confirmed the presence of choledocholithiasis combined with cholecystolithiasis; (3) The shape of the gallbladder was normal, without or accompanied by mild chronic cholecystitis, and the thickness of the gallbladder wall was <=3mm; (4) The patient had a desire to preserve gallbladder.
Exclusion criteria
Exclusion criteria: (1) acute cholecystitis with gallbladder suppuration, perforation and gangrene, xanthogranulomatous cholecystitis; (2) chronic cholecystitis, uniform thickening of gallbladder wall more than 3mm, or uneven thickness of gallbladder wall; (3) gallbladder wall fibrosis, porcelain gallbladder; (4) gallbladder atrophy, disappearance of gallbladder cavity, or too small volume; (5) Cystic duct obstruction and Mirrizzi syndrome; (6) diffuse cystic adenomyosis; (7) segmental cystic adenomyosis, septum less than 5mm, and the proximal gallbladder cavity is too small or the distal gallbladder wall thickened more than 3mm; (8) Diffuse Rokitansky-Aschoffsinusstones (RASS); (9) Gallbladder malignant tumor; (10) History of biliary surgery; (11) Patients with biliary duct tumor; (12) combined with bile duct stenosis deformity; (13) coagulopathy (INR > 1.5, PT > 2 times the upper limit of the reference value) and hemorrhagic diseases; (14) Patients with severe heart failure, severe renal failure and severe shock; (15) Mentally abnormal or uncooperative; (16) Obstruction of upper digestive tract; (17) Pregnant and lactation women or women who do not exclude the possibility of pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| technical success rate;clinical success rate;incidence of complications;recurrence rate of gallstone; | — |
Countries
China
Contacts
Public ContactChen Youxiang
Outcome results
None listed