Treatment with laparoscopy and choledochoscopy for choledoclolithiasis

VernacularTitle:腹腔镜联合胆道镜治疗胆总管结石
Author: Quanbin XU ; Yongqiang YE
Publication Type:Journal Article
Keywords: Laparoscopy; Choledocholithiasis; Choledochoscopy
From: Chinese Journal of Hepatobiliary Surgery 2011;17(8):635-637
CountryChina
Language:Chinese
Abstract: Objective To determine the most appropriate method in the treatment of choledocholithiasis. Methods The clinical data of 135 patients who received either laparoscopic common bile duct exploration (LCBDE) or laparoscopic transcystic common bile duct exploration (TC-BDE) from May 2005 to July 2009 were retrospectively studied. Results All patients were cured of choledocholithiasis. In 13 patients three trocars were used, in 89 patients four trocars were used, and in 33 patients conversion to open operation was done. Of the 102 patients in whom minimal invasive surgery was successfully carried out, TC-BDE was done in 6 patients and LCBDE in 96 patients. Primary closure of common bile duct (CBD) was carried out in 33 patients while T-tube drainage was done in 63 patients. Six patients had a transient bile leak which healed spontaneously in 3 to 4 days. Retained stone was detected in 2 patients which was successfully retrieved through choledochoscopy. Conclusion An individualized treatment approach is the most reasonable way to manage CBD stones. The choice of the procedure depends on the number and size of stones, the surgeons experience and the patient's choice.