Effect analysis on combination of laparoscopy and duodenoscopy treatment for calculus of extrahepatic bile duct

VernacularTitle:腹腔镜与十二指肠镜联合治疗肝外胆管结石效果分析
Author: Yunhong LIU ; Yong XIAO ; Pingguang LEI
Publication Type:Journal Article
Keywords: Laparoscopes; Duodenoscopes; Calculus of extrahepatic bile duct; Sphincterotomy,Endoscopic
From: International Journal of Surgery 2013;(6):376-379
CountryChina
Language:Chinese
Abstract: Objetive To study the medical value of the combined treatment of laparoscopy and duodenoscopy treatment for calculus of extrahepatic bile duct.Methods Retrospectivly analyzed the clinical data of 72 cases with combination of laparoscopy and duodenoscopy treatment for calculus of extrahepatic bile duct between March 2006 and October 2011.There were 11 cases of choledocholithiasis and 61 cases of choledocholithiasis and cholecystolithiasis.Results Three cases of severe abdominal adhesion converted to laparotomy and other 69 cases were cured.The cure rate was 95.83％.There were no complications such as infection,bile duct injury,bile leakage,intraabdominal hemorrhage,bile reflux cholangitis,pancreatitis and cicatrical stenosis of papilary.The examination after operation showed that there weren't any residual bile duct stones.Conclusions The combination of laparoscopy and duodenoscopy treatment for calculus of extrabepatic bile duct has less traumatic,few intercurrent disease,and was safe and reliable with well postoperative recovery.It can be regarded as the preference treatment for calculus of extrahepatic bile duct.