Keywords
Choledochoscopy
Difficult gallstones
Perioperative indicators
Complication rate
Submitted : 2026-01-05
Accepted : 2026-01-20
Published : 2026-02-04
Abstract
Objective: To analyze the therapeutic effect of laparoscopy combined with choledochoscopy in the treatment of difficult cholelithiasis. Methods: A total of 60 patients with difficult cholelithiasis admitted for treatment from January 2022 to December 2024 were selected and evenly divided into two groups using a random number table. The combined group received laparoscopy combined with choledochoscopy treatment, while the single group received laparoscopy treatment alone. The total treatment efficacy, perioperative indicators, angiotensin (Ang) levels, quality of life scores, and complication rates were compared between the two groups. Results: The total treatment efficacy in the combined group was higher than that in the single group; except for operative time, the perioperative indicators in the combined group were superior to those in the single group; the Ang levels after treatment in the combined group were lower than those in the single group, and the quality of life scores were higher (P < 0.05). The complication rate in the combined group was lower than that in the single group (P < 0.05). Conclusion: Laparoscopy combined with choedochoscopy can enhance the treatment effectiveness for patients with difficult cholelithiasis, improve perioperative indicators, regulate their Ang levels, elevate quality of life, and demonstrate high surgical safety.
References
Jia S, 2025, Study on the Effect of Laparoscopy Combined with Choledochoscopy in Patients with Gallstones and Its Impact on VAS Scores. Journal of Rare and Uncommon Diseases, 32(8): 101–103.
Zhang R, 2023, The Effect of Laparoscopic Combined with Choledochoscopic Common Bile Duct Exploration and Lithotomy for Primary Suture of the Common Bile Duct in the Treatment of Extrahepatic Gallstones. Chinese Journal of Practical Rural Physicians, 30(6): 43–46.
Song W, 2022, Therapeutic Effect of Laparoscopic Cholecystectomy on Patients with Gallstones. Electronic Journal of Clinical Medical Literature, 9(14): 100–102 + 87.
Li L, Yang D, Zhou L, et al., 2003, Reliability and Validity Study of the World Health Organization Quality of Life Questionnaire in China. Chinese Journal of Psychiatry, 36(3): 143–147.
Xu J, Zhang J, Zhang S, 2021, The Effect of Laparoscopic Combined with Choledochoscopy in the Treatment of Gallstones and Its Impact on Gallbladder Function. Chinese Journal of Current Advances in General Surgery, 24(12): 980–981 + 984.
Wu B, Wu H, 2025, Comparative Study on the Clinical Effects of Laparoscopic Choledochotomy with Fiber Choledochoscope Lithotomy and T-Tube Drainage Versus Open Cholecystectomy for the Treatment of Gallstones. China Practical Medicine, 20(18): 41–43.
Zhang J, Su Z, Fei H, et al., 2021, Analysis and Exploration of the Value of Laparoscopy Combined with Choledochoscopy in the Treatment of Gallstones. China Medical Device Information, 27(4): 70–71.
Zhang L, 2021, Observation on the Application Effect of Personalized Nursing in Laparoscopy Combined with Choledochoscopy for the Treatment of Gallstones. China Health Care & Nutrition, 31(6): 233.
Zhou Q, 2021, Analysis of the Effect of Laparoscopy Combined with Choledochoscopy in the Surgical Treatment of Gallstones. Chinese Journal of Modern Drug Application, 15(2): 59–61.
Sun Q, 2021, Observation on the Clinical Efficacy of Laparoscopy Combined with Choledochoscopy in the Treatment of Gallstones. Intelligent Health, 7(30): 72–74.