Comparison of three different modalities for eholecystolithiasis combined effect of choledocholithiasis

Objective To evaluate the therapeutic effect of 3 different treatments for cholecystolithiasis combined effect of choledocholithiasis. Methods From October 2003 to October 2007,192 cases were randomized into three groups ,63 cases were received T-tube drainage( group A)after iaparoscopic cholecystectomy and choledochotomy,66 cases were received endoscopic sphincterotomy and laparoscopic cholecystectomy(group B) and 63 cases were received open cholecystectomy and open choledocholithotimy T-tube drainage( group C). Resuits Compared with other groups, the average operating time, the average hospital stay and treatment time in group A was shorter(P<0.05). There were no significant difference in blood loss and complication morbidity during operation among the 3 groups. Conclusion T-tube drainage after laparoscopic cholecystectomy and choledoehotomy is a safe and feasible technique with affirmative curative effect and mild invasion. This operation preserve the function of Oddi, and shortened the hospital stay, tratment time and it relieved the cost of patients. Key words: laparoscopic; Cholecystolithiasis; Choledocholithiasis; Surgery