Volume 23 Issue 12
Dec.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(12): 2059-2063
HU Shuzhen, FENG Xia, ZHANG Leyi. Intraoperative lithotripsy demand and its early predictive factors in patients undergoing laparoscopic common bile duct exploration[J]. Chinese Journal of General Practice, 2025, 23(12): 2059-2063. doi: 10.16766/j.cnki.issn.1674-4152.004291
Citation: HU Shuzhen, FENG Xia, ZHANG Leyi. Intraoperative lithotripsy demand and its early predictive factors in patients undergoing laparoscopic common bile duct exploration[J]. Chinese Journal of General Practice, 2025, 23(12): 2059-2063. doi: 10.16766/j.cnki.issn.1674-4152.004291
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Intraoperative lithotripsy demand and its early predictive factors in patients undergoing laparoscopic common bile duct exploration

doi: 10.16766/j.cnki.issn.1674-4152.004291
  • 1.

    Department of Hepatobiliary Surgery, Chun' an First People' s Hospital (Chun' an Branch of Zhejiang Provincial People' s Hospital), Hangzhou, Zhejiang 311700, China

Funds:

 2022ZH008

  • Received Date: 2024-11-29
    Available Online: 2026-03-13
    Abstract
  •   Objective  To explore the lithotripsy demand of patients undergoing laparoscopic common bile duct exploration (LCBDE), and analyze the related early prediction factors, so as to build a prediction model of the lithotripsy demand during LCBDE.  Methods  One hundred and fifty-two patients with percutaneous LCBDE admitted to Chun' an Branch of Zhejiang Provincial People' s Hospital from March 2022 to March 2024 were divided into demand group (n=33) and non-demand group (n=119) according to the assistance of laparoscopic lithotripsy during operation. The general data and clinical data of patients in the two groups were compared, and the influencing factors of lithotripsy demand in patients with percutaneous LCBDE were analyzed by multivariate logistic regression.  Results  The ratio of age/common bile duct stone diameter < 1.1 cm in demand group was lower than that in non-demand group, and the ratio of fever, jaundice, nausea and vomiting and peripancreatic exudation was higher than that in non-demand group (P < 0.05). Multivariate logistic regression analysis showed that age (OR=0.824), fever (OR=10.112), jaundice (OR=8.071), nausea and vomiting (OR=5.823) and common bile duct stone diameter (OR=9.148) were the independent risk factors of lithotripsy demand in patients undergoing percutaneous LCBDE (P < 0.05). The ROC curve showed that the AUC of the combined model based on these five indicators was 0.914 (95% CI: 0.858-0.953), and the combined models predicted the risk of lithotripsy demand in patients with percutaneous LCBDE in good agreement with the actual risk.  Conclusion  There are still some patients who need lithotripsy during the treatment of choledocholithiasis by percutaneous LCBDE. Age, fever, jaundice, nausea and vomiting and the diameter of common bile duct stones are independent risk factors, and the combined prediction model based on these five indicators can be used as a clinical tool to predict the demand for lithotripsy in patients with percutaneous LCBDE.

     

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