Application of septum incision technique in laparoscopic transcystic common bile duct exploration
10.3760/cma.j.cn113884-20230325-00091
- VernacularTitle:"隔膜"切开技术在腹腔镜经胆囊管胆总管探查术中的应用分析
- Author:
Zhi ZHANG
1
;
Xiaosong LI
;
Zhengbin TU
;
Jianmao YUAN
Author Information
1. 苏州大学附属苏州九院（苏州市第九人民医院）普外科，苏州 215200
- Keywords:
Choledocholithiasis;
Laparoscopes;
Cystic duct;
Bile duct exploration
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(9):651-654
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the role of septum incision technique in laparoscopic transcystic common bile duct exploration (LTCBDE).Methods:The data of 22 patients with choledocholithiasis undergoing LTCBDE by septum (a membrane-like wall of the cystic duct running parallel to the common hepatic duct) incision technique at the Suzhou Ninth Hospital Affiliated to Soochow University from April 2020 to March 2023 were retrospectively analyzed, including 13 males and 9 females, aged (54.4±20.3) years. The operative time, postoperative hospital stay, postoperative complications (bile leakage, abdominal hemorrhage, abdominal infection, etc.) and follow-up data were collected and analyzed.Results:All 22 patients (including two patients undergoing common bile duct exploration through the residual cystic duct) underwent the exploration of common hepatic duct, left and right hepatic duct openings, and secondary branch openings successfully. It was confirmed using this procedure that there were no obstruction of the common hepatic duct and intrahepatic bile ducts, or residual stones. The operation time was (79.6±23.2) min and the postoperative hospital stay was (6.3±1.7) d. No complications such as biliary leakage, abdominal hemorrhage or infection occurred after surgery. No cases of biliary stricture or residual stones were observed during short-term postoperative follow-ups.Conclusion:The septum incision technique improved the visualization of hilar bile duct in LTCBDE, which could be a safe and effective procedure to facilitate the LTCBDE and increase its success rate.
