Treatment of extrahepatic bile duct stones with laparoscope and endoscopes in 610 patients
- VernacularTitle:腹腔镜联合内镜治疗肝外胆管结石610例
- Author:
Cheng ZHANG
;
Dongjun AN
;
Hao DONG
;
Dangjun ZHOU
;
Guangchao WANG
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Endoscope;
Cholelithiasis
- From:
Chinese Journal of Digestive Surgery
2008;7(5):339-341
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of laparoscope, choledochoscope and duodenoscope in the treatment of extrahepatic bile duct stones. Methods The clinical data of 610 patients with extrahepatic bile duct stones who had received the treatment with laparoscope, choledochoscope and duodenoscope in our hospital from September 1997 to January 2007 were retrospectively analyzed. Patients with bile duct stones received ERCP or EST, and patients with cholecystolithiasis + choledocholithiasis underwent the treatment with laparoscope+ duodenoscope, or laparoscope + choledochoscope, or laparoscope + duodenoscope + choledochoscope. Results The operation was successful in 589 patients, with the successful rate of 96.6%. The duration of hospital stay was 7-28 days (mean, 13 days). No severe complications such as bile leakage, duodenal leakage, duodenal papilla bleeding, acute cholangitis occurred. Four hundred and eleven patients had been followed up for 1 to 3 years (mean, 13 months), and no bile duct stone recurrence or other complications occurred. Conclusions For patients with bile duct stones, the treatment with ERCP or EST is appropriate. Laparoscope + endoscopes in the treatment of cholecystolithiasis combined with choledocholithiasis is safe and effective.
