Copyright
©The Author(s) 2024.
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3511-3519
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3511
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3511
Table 1 Baseline data
Control group (n = 40) | Observation group (n = 42) | χ2 | P value | |
Sex | ||||
Male | 18 | 17 | ||
Female | 22 | 25 | 0.171 | 0.679 |
Age | ||||
≤ 65 years old | 12 | 16 | ||
> 65 years old | 28 | 26 | 0.597 | 0.440 |
Stone diameter | ||||
≤ 10 mm | 19 | 24 | ||
> 10 mm | 21 | 18 | 0.764 | 0.382 |
Number of stones | ||||
Single | 30 | 28 | ||
Multiple | 10 | 14 | 0.687 | 0.407 |
Disease course | ||||
≤ 2 years | 25 | 21 | ||
> 2 years | 15 | 21 | 1.300 | 0.254 |
Sphincter of Oddi function | ||||
Normal | 28 | 32 | ||
Abnormal | 12 | 10 | 0.400 | 0.527 |
Table 2 Surgical outcomes
Stone residual | Operation time (min) | Intraoperative bleeding (mL) | |
Control group (n = 40) | 7 | 171.25 ± 48.51 | 52.05 ± 72.34 |
Observation group (n = 42) | 2 | 144.24 ± 47.89 | 20.60 ± 16.94 |
t/χ2 | 3.402 | 2.537 | 2.741 |
P value | 0.065 | 0.013 | 0.008 |
Table 3 Postoperative complications
Bile leakage | Abdominal pain | Biliary tract infection | Diarrhea | Gastrointestinal bleeding | Total | |
Control group (n = 40) | 2 | 5 | 3 | 3 | 1 | 14 |
Observation group (n = 42) | 0 | 2 | 1 | 1 | 0 | 4 |
χ2 | 7.761 | |||||
P value | 0.005 |
Table 4 Results of univariate analysis
Recurrence group (n = 13) | Non-recurrence group (n = 69) | χ2 | P value | |
Sex | ||||
Male | 6 | 29 | ||
Female | 7 | 40 | 0.076 | 0.783 |
Age | ||||
≤ 65 years old | 3 | 36 | ||
> 65 years old | 10 | 33 | 3.713 | 0.054 |
Stone diameter | ||||
≤ 10 mm | 6 | 39 | ||
> 10 mm | 7 | 30 | 0.475 | 0.491 |
Number of stones | ||||
Single | 6 | 36 | ||
Multiple | 7 | 33 | 0.159 | 0.690 |
Disease course | ||||
≤ 2 years | 11 | 46 | ||
> 2 years | 2 | 23 | 1.663 | 0.197 |
Sphincter of Oddi function | ||||
Normal | 5 | 53 | ||
Abnormal | 8 | 16 | 7.771 | 0.005 |
Treatment scheme | ||||
Open choledocholithotomy plus laparoscopic or open cholecystectomy | 10 | 30 | ||
Laparoscopic cholecystectomy plus common bile duct exploration | 3 | 39 | 4.897 | 0.027 |
Table 5 Assignment table
Variable | Assignment |
Sphincter of Oddi function | Normal = 0, abnormal = 1 |
Treatment scheme | Open choledocholithotomy plus laparoscopic or open cholecystectomy = 1, laparoscopic cholecystectomy plus common bile duct exploration = 0 |
Table 6 Results of multivariate analysis
Estimate | Std Error | P value | OR | Lower 95%CI | Upper 95%CI | |
Sphincter of Oddi function | 1.743 | 0.643 | 0.007 | 5.712 | 1.620 | 20.143 |
Treatment scheme | 1.913 | 0.726 | 0.008 | 6.771 | 1.631 | 28.102 |
- Citation: Liao JH, Li JS, Wang TL, Liu WS. Laparoscopic cholecystectomy plus common bile duct exploration for extrahepatic bile duct stones and postoperative recurrence-associated risk factors. World J Gastrointest Surg 2024; 16(11): 3511-3519
- URL: https://www.wjgnet.com/1948-9366/full/v16/i11/3511.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v16.i11.3511