Effect of combined laparoscopic treatment of gallstone duodenoscope on common bile duct stones
10.3760/cma.j.issn.1673-4203.2010.08.003
- VernacularTitle:腹腔镜联合十二指肠镜治疗胆囊结石合并胆总管结石效果分析
- Author:
Yanliang HAN
;
Yongnan AN
;
Junfeng YAN
;
Changjie WANG
;
Huancai XU
- Publication Type:Journal Article
- Keywords:
Gallstone;
Laparoscopic cholecystectomy;
Oddi sphincter lithotomy;
Bile duct junction
- From:
International Journal of Surgery
2010;37(8):508-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of laparoscopic cholecystectomy endoscopic sphincterotomy combined with Oddi lithotomy (EST) treatment of gallbladder stone on common bile duct stones. Methods A retrospective analysis between May 2003 and June 2009 ,the combined treatment of LC and EST in 78 patients with common bile duct stones was retrospectivelly analyzed. First, bile duct stones were removed by EST, then laparoscopic cholecystectomy was performed within 5 days. Results EST was performed successfully in 76 cases (97%), failure in 2 cases, 1 case abdominal choledochojejunostomy due to the end of bile duct stenosis; one cases of common bile duct stone diameter of 1.6 cm, firm, failure of mechanical lithotripsy received common bile duct ploration T-tube drainage 76 cases of laparoscopic operation is successful, without obvious bleeding, bile leakage and other severe complications. Conclusions The advantages of EST + LC for the gallbladder stones and common bile duct stones with less trauma, faster recovery, fewer complications, and no T-tube drainage, etc; this is a safe and effective treatment.
