ERCP and EST before laparoscopic cholecystectomy for treatment of patients with cholelithiasts concurrent with choledocholithiasis

VernacularTitle:腹腔镜与内镜联合治疗胆囊及胆总管结石的临床研究
Author: Yuanchao ZHENG ; Yan XIA ; Mingzhe HUANG ; Bojian JIANG
Publication Type:Journal Article
Keywords: cholangiopancreatography; endoscopic retrograde; sphincterotomy; endoscopic; cholecys-tectomy; laparoscopic
From: International Journal of Surgery 2009;36(9):591-594
CountryChina
Language:Chinese
Abstract: Objective To summarize the curative effect of ERCP and EST before laparoseopic cholecystec-tomy for treatment of patients with cbolelithiasts concurrent with choledoeholithiasis. Methods A retrospec-tive analysis was carried out for 43 cases of cholelithiasis concurrent with choledocholithiasis from January 2006 to December 2008. Results The procedures were successfully accomplished in 40 patients, the suc-cess rate was 93%. The successful clearance rate of common bile duct stone was 95.2%. Complication oc-curred in 2 cases, including 1 case of papilla bleeding and 1 case of hyperamylesemia. All complications were cured with non-operating treatment. Conclusions ERCP and EST before laparoseopic cholecystectomy is the best treatment and diagnosis method in gallbladder stone with common bile dust stone. It is very impor-tant to improve the success rate of LC, decrease complication and occurrence of the open operation of com-mon bile duct stone.