Laparoscopic cholecystectomy for the treatment of patients with cholelithiasts concurrent with choledocholithiasis
10.3760/cma.j.issn.1673-4203.2011.05.006
- VernacularTitle:十二指肠镜联合腹腔镜治疗胆囊结石合并胆总管结石
- Author:
Honglu WANG
;
Zhenshen ZHAO
;
Ning CHEN
;
Yi HU
;
Shuangjun CAO
;
Jin LI
;
Qinglong SHI
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparascopic;
Endoscopic retrograde cholangiopancreatography;
Three-dimensional spiral CT cholangiography
- From:
International Journal of Surgery
2011;38(5):301-304
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the curative effect of three-dimensional spiral CT cholangiography combined with endoscopic retrograde cholangiopancreatography(ERCP),endoscopic sphincterotomy(EST)and laparoscopic cholecystectomy(LC)for treatment of patients with cholelithiasts concurrent with choledocholithiasis.Methods A retrospective analysis was carried out for 30 cases of cholelithiasts concurrent with choledocholithiasis which were treated with ERCP and three-dimensional spiral CT cholangiography before laparoscopic cholecystectomy from July 2007 to June 2009.And the post operation parameters were compared with those of 36 patients who received traditional operation from July 2005 to June 2007.Results All the procedures were successfully accomplished.Complication occurred in 2 cases.both with mild acute pancreatitis.With the three-dimensional spiral CT cholangiography,the intra-hepatic bile ducts,the hepatic bile duct and the common bile duct were visible in 100 percent patients,and choleeyst bile duct was visible in 73%patients,and three-dimensional spiral CT cholangiography can tell the position of cholecyst duct,then can decrease the possibility of damage of bile duct.The gastrointestinal function recovery time and feeding time after operation,the in hospital time after operation in the ERCP and three-dimensional spiral CT cholangiography before laparoscopic cholecystectomy group were superior to those of the traditional operation patients(P＜0.05).Conclusion ERCP and three-dimensional spiral CT cholangiography before laparoscopic cholecystectomy for treatment of patients with cholelithiasts concurrent with choledocholithiasis is safe,with less trauma and fast recover after operation and Can decrease the possibility of damaging bile duct,which can be used widely.
