Diseases of intrahepatic and extrahepatic bile duct stones
Conditions
Interventions
Observation group: Laparoscopic hepatectomy, choledocholithotomy via hepatic parenchymal dissection with intraoperative choledochoscopy
:None
Control group: laparoscopic hepatectomy, common bile duct incision, choledochoscopy for stone extraction, and T-tube drainage:None
Sponsors
Ankang Central Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Intrahepatic bile duct stones combined with extrahepatic bile duct stones: Abdominal ultrasound, CT or MRCP examination suggests intrahepatic bile duct stones combined with extrahepatic bile duct stones; 2. There are indications for surgery, but no contraindications. Laparoscopic liver resection combined with intraoperative cholangioscopy exploration and stone removal surgery is performed for surgical treatment; 3. No previous history of endoscopic retrograde cholangiopancreatography (ERCP) examination or treatment.
Exclusion criteria
Exclusion criteria: 1. Patients with concurrent malignant tumors of the liver or biliary tract or other parts of the body; 2. Patients with concurrent acute cholangitis or acute pancreatitis; 3. Patients with severe stenosis of extrahepatic bile ducts; 4. Patients with severe cardiovascular, pulmonary, and cerebrovascular diseases cannot tolerate surgery; 5. Individuals with severe coagulation dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical indicators: blood loss and operative time in both groups; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complication indicators: number of cases of bile leakage, bile duct bleeding, and incision infection;Postoperative recovery indicators: time to recover intestinal function;Long term efficacy indicators: number of recurrent cases of stones; | — |
Countries
China
Contacts
Public ContactXia Jie
Ankang Central Hospital
Outcome results
None listed