Combined application of laparoscope and multiple endoscopes for the treatment of extra-hepatic bile duct stones:a report of 3780 eases
10.3760/cma.j.issn.1673-9752.2011.03.006
- VernacularTitle:多镜联合治疗肝外胆管结石3780例
- Author:
Wence ZHOU
;
Kexiang ZHU
;
Lei ZHANG
;
Yumin LI
;
Xun LI
;
Mingyan HE
;
Wenbo MENG
;
Hui ZHANG
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Laparoscopy;
Choledochoscopy;
Duodenoscopy
- From:
Chinese Journal of Digestive Surgery
2011;10(3):176-178
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of combined application of laparoscope and multiple endoscopes for the treatment of extra-hepatic bile duct stones.Methods The clinical data of 3780 patients with extra-hepatic bile duct stones who were admitted to the First Hospital of Lanzhou University from March 1998 to June 2010 were retrospectively analyzed.According to the condition of bile duct stones,laparoscope,choledochoscope and duodenoscope were applied separately or combinately.All patients were divided into A,B and C groups.Patients in group A were treated by laparoseopy,choledochoscopy or duodenoscopy;patients in group B were treated by choledochoscopy+duodenoscopy.duodenoscopy+laparoscopy or laparoscopy+choledochoscopy;patients in group C were treated by laparoscopy+duodenoscopy+choledochoscopy.The efficacies of different treatment approaches were analyzed by comparing the results of imaging examination and follow-up.Results The curative rate and complication rate of the group A were 89.54%(1276/1425)and 6.73%(86/1276),respectively.Of the 149 patients in the group A who were failed in the treatment,83 patients were transferred to the group B,and 66 patients were transferred to the group C.The curative rate and complication rate of the group B(including 83 patients transferred from the group A)were 95.93%(1719/1792)and 4.07%(70/1719),respectively,and 73 patients who were failed in the treatment were transferred to the group C.The curative rate and complication rate of the group C(including 139 patients transferred from the group C)were 99.75%(783/785)and 0.26% (2/783),respectively,and 2 patients who were failed in the treatment received open surgery.Conclusion Combined application of laparoscope and endoscopes could raise the success rate of stone clearance and decrease the postoperative complications.
