Laparoscopy with simultaneous ERCP for cholecystolithiasis combined with choledocholithiasis
10.3760/cma.j.issn.1007-5232.2012.11.008
- VernacularTitle:双镜联合一次性治疗胆囊结石并发胆总管结石的临床研究
- Author:
Bo HOU
;
Bo HUANG
;
Jun XU
;
Xing CHEN
;
Jing ZHANG
;
Zhifeng WANG
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopic;
Cholangiopancreatography,endoscopic retrograde;
Cholecystolithiasis;
Choledocholithiasis
- From:
Chinese Journal of Digestive Endoscopy
2012;29(11):625-627
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the feasibility of laparoscopy with simultaneous ERCP for cholecystolithiasis combined with common bile duct stones.MethodsThe clinical data of 150 cases with combined choledocholithiasis and cholecystolithiasis who underwent laparoscopy and simultaneous ERCP from November 2009 to March 2012 were analyzed retrospectively.Under general anesthesia,laparoscopic cholecystectomy (LC) was performed and followed by ERCP.Common bile duct stones were removed by ERCP and endoscopic nasobiliary drainage (ENBD)was placed.Therapeutic effect and complications were observed.ResultsLC and ERCP were successfully completed in all patients.There was no bleeding,perforation,severe pancreatitis or other severe complications occurred in any patient during and after operation.Postoperative gastrointestinal function recovery time and hospitalization were short.During follow-up,no residual or recurrent stones were found by abdominal ultrasound examination.Conclusion Simultaneous ERCP and laparoscopy is effective and safe treatment with less invasiveness and quick recovery for cholecystolithiasis combined with choledocholithiasis.
