Efficacy and Prognosis of a Combined Three Mirror Surgical Protocol for Patients with Extrahepatic Biliary Stones
DOI: 10.23977/tranc.2021.030104 | Downloads: 3 | Views: 127
Jun FANG 1, An WANG 1, ChunHui Sun 1, XiuYong Sun 1, Xun YAO 1, WuHui Zhu 1
1 Affiliated Qingdao Third People's Hospital, Qingdao, Shandong, 266041, China
Corresponding AuthorJun FANG
Objective: to analyze the surgical results and outcomes of patients with extrahepatic biliary calculi using a combination of three scopes (laparoscopy, duodenoscopy, and cholangioscopy).Methods: a total of 108 patients with extrahepatic biliary stones treated in our hospital were selected and divided into observation and control groups according to the different surgical methods, with 58 patients in the observation group and 50 patients in the control group. The control group was treated with conventional surgery, and the observation group was treated with a combination of three glasses to compare the treatment effects between the two groups. Results: surgical success was higher in the observation group than in the control group, with statistically significant differences (P < 0.05); No deaths occurred in the postoperative period in either group, intraoperative blood loss was significantly less in the observation group than in the control group, and the recovery time of gastrointestinal motility and time to ambulation were significantly shorter than in the control group (P < 0.05; The patients in the observation group had a significantly shorter postoperative fasting time, exhaust time, and abdominal drainage time than those in the control group, and visual analog scale (VAS) scores were significantly lower than those in the control group, all of which were statistically significant (P < 0.05).Conclusions: the treatment of gallbladder stones combined with extrahepatic bile duct stones using the combination of three mirror surgery has excellent outcomes, with a high success rate and a low residual stone rate, which obviously improves the postoperative prognosis effect and improves the surgical safety, and has an excellent application value.
KEYWORDSTriple mirror union, Extrahepatic biliary stones, Surgical outcomes, Prognosis
CITE THIS PAPER
Jun FANG, An WANG, ChunHui Sun, XiuYong Sun, Xun YAO, WuHui Zhu. Efficacy and Prognosis of a Combined Three Mirror Surgical Protocol for Patients with Extrahepatic Biliary Stones. Transactions on Cancer (2021) 3: 18-23. DOI: http://dx.doi.org/10.23977/tranc.2021.030104.
 Kotelnikova L P, Burnyshev I G, Bazhenova O V, et al. Results of surgical treatment of extrahepatic bile duct injuries. Perm Medical Journal, vol. 37, no. 1, pp. 63-72, 2020.
 Nunes T F, Tibana T K, Pereira M, et al. Treatment of extrahepatic biliary fistulas using n-butyl cyanoacrylate. Radiologia Brasileira, vol. 52, no. 3, pp. 2, 2019.
 Shevchenko B F, Zelenyuk A V, Babiy A M, et al. Sphincter-preserving technologies in the surgical treatment of extrahepatic cholestasis in complicated cholelithiasis. Reports of Vinnytsia National Medical University, vol. 24, no. 3, pp. 433-443, 2020.
 N Nezami, Benchetrit L, Latich I, et al. Cholangiolithiasis postliver transplantation: Successful treatment utilizing percutaneous transhepatic cholangioscopy and laser lithotripsy. Radiology Case Reports, vol. 14, no. 12, pp. 1459-1466, 2019.
 Ams A, Afe A, Svr A, et al. Treatment of mid-bile duct carcinoma: Local resection or pancreatoduodenectomy?. European Journal of Surgical Oncology, vol. 45, no. 11, pp. 2180-2187, 2019.
 Di, Zhou G F, Hu W C, et al. Hepatocellular carcinoma with tumor thrombus in bile duct: A proposal of new classification according to resectability of primary lesion. World Journal of Gastroenterology, vol. 26, no. 44, pp. 101-117, 2020.
 Hu Y, Kou D Q, Guo S B . The influence of periampullary diverticula on ERCP for treatment of common bile duct stones. Scientific Reports, vol. 10, no. 1, pp. 11477, 2020.
 Zhou D, Hu G F, Gao W C, et al. Hepatocellular carcinoma with tumor thrombus in bile duct: A proposal of new classification according to resectability of primary lesion. World Journal of Gastroenterology, vol. 26, no. 44, pp. 7005-7021, 2020.
 Yang X, Zhao J, Hong W, et al. Surgical treatment of malignant biliary papillomatosis invading adjacent organs:A case report. World Journal of clinical cases, vol. 007, no. 002, pp. 253-259, 2019.
 Han L, Cui P, Tang m, et al., development and validation of a survival prediction model for patients with biliary system tumors, vol. 40, no. 11, pp. 1461-1469, 2019.
 Mao, Wang. [Present treatment situation of hepatocellular carcinoma with extrahepatic metastasis]. Zhonghua wai ke za zhi [Chinese journal of surgery], vol. 57, no. 6, pp. 466-470, 2019.
 Yasuyuki, Kamada T, Hori H, et al. Surgical treatment of gallbladder cancer: An eight-year experience in a single center. World Journal of Hepatology, vol.12, no. 09, pp. 113-132, 2020.
 GurmikoV B N, Vishnevsky V A, Kovalenko Y A, et al. Long-term results of surgical treatment of intrahepatic cholangiocarcinoma. Khirurgiia, no. 5, pp. 5, 2020.
 Yang X J, Dong X H, Chen S Y, et al. Application of multiple Roux-en-Y hepaticojejunostomy reconstruction by formation of bile hilar duct lake in the operation of hilar cholangiocarcinoma. World Journal of clinical cases, vol. 008, no. 001, pp. 68-75, 2020.