Laparoscopic balloon dilation and endoprosthesis in the treatment of postoperative recurrent choledocholithiasis and biliary stricture
10.3760/cma.j.issn.1007-8118.2011.10.010
- VernacularTitle:经腹腔镜球囊导管扩张治疗复发性胆总管结石和胆总管狭窄
- Author:
Yunsheng SUO
;
Anping CHEN
;
Hong XIAO
;
Sineng YIN
- Publication Type:Journal Article
- Keywords:
Laparoscopic;
Balloon dilatation;
Endoprosthesis;
Recurrent choledocholithiasis
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(10):826-828
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of laparoscopic bile duct exploration,balloon dilation,and catheter drainage in the treatment of postoperative recurrent choledocholithiasis.Method The data of 61 patients with postoperative recurrent bile duct stones from August 1999 to August 2009 were retrospectively analyzed.The patients received laparoscopic bile duct exploration (LCDE),laparoscopic papillary balloon dilation (LPBD),and laparoscopic papillary balloon dilation endoprosthesis (LPBDE).ResultSatisfactory outcome was achieved in all the 61 patients.Among the 61 patients,20 patients received LPBD and primary suturing,36 patients received LPBDE and primary suturing,and 5 patients received LPBDE and T-tube drainage.There was no residual stone.There was no perioperative mortality or serious complications including biliary leak and hemobilia.On follow up for 1 to 9.5 years in 56 patients,there was no recurrent choledocholithiasis.ConclusionThe procedures were feasible and safe,and they prevent recurrence of choledocholithiasis.
