Laparoscopic Surgery for Common Bile Duct Stone.
- Author:
Dae Kun YOON
1
;
Ho Seong HAN
;
Young Woo KIM
;
Yong Man CHOI
Author Information
1. Department of Surgery, College of Medicine, Ewha Womans University.
- Publication Type:Original Article
- Keywords:
Laparoscopic surgery;
Choledocoscopy;
Common bile duct stone
- MeSH:
Catheters;
Choledocholithiasis;
Common Bile Duct*;
Conversion to Open Surgery;
Fistula;
Humans;
Laparoscopy*;
Lithotripsy;
Mortality
- From:Journal of the Korean Surgical Society
2000;58(3):420-425
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Application of a laparoscopic technique to common bile duct explorations has been limited due to technical difficulty. With increased experience and technique, laparoscopic surgery has become a possible option for the treatment of common bile duct stones. The purpose of this study was to assess the usefulness of laparoscopic surgery in the treatment of common bile duct stones. METHODS: Between March 1997 and August 1999, 35 patients with choledocholithiasis were treated with laparoscopic common bile duct exploration (4 had a previous biliary operative history). Intraoperative choledochoscopy was used to remove common bile duct stones. The stones were retrieved by using a saline flush, a basket, or a Fogarty catheter. The impacted stones were destroyed using electrohydraulic lithotripsy. RESULTS: Successful laparoscopic stone clearance was achieved in 33 cases (94.3%), and conversion to open surgery occurred in one case (2.9%). The morbidity was 5.7% without mortality. Two cases of retained stone were treated with postoperative choledochoscopic removal via fistula tract and postoperative endoscopic extraction. CONCLUSION: Laparoscopic common bile duct exploration is feasible and safe in most patients. With increased of experience, laparoscopic common bile duct exploration could be used widely.
