Laparoscopic cholecystectomy combined with intraoperative cholangiography and endoscopic sphincterotomy for the treatment of choledocholithiasis
- VernacularTitle:腹腔镜联合术中胆管造影、括约肌切开术序贯诊治胆结石病106例
- Author:
Defei HONG
;
Junda LI
;
Min GAO
;
Xiaoming YUAN
;
Jianguo WANG
;
Xiujun CAI
;
Xianfa WANG
- Publication Type:Journal Article
- Keywords:
Cholecystectomy, laparoscopic;
Cholangiography;
Choledocholithiasis;
Sphincterotomy
- From:
Chinese Journal of General Surgery
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the effect of laparoscopic cholecystectomy (LC) combined with intraoperative cholangiography (IOC) and intraoperative endoscopic sphincterotomy (IOEST) for the diagnosis and treatment of choledocolithiasis. Methods Statistical analysis was carried out for 106 patients with cholecystocholedocolithiasis diagnosed and treated by LC-IOC-IOEST. Results Sixty-four (60.4%, 64/106 ) patients with preoperative diagnosis of simple gall stone were found with complicated choledocholithisis; LC-IOC -IOEST was successfully performed in 99(93.4%, 99/106) cases. Six cases (6.1%) suffered from mild postoperative acute pancreatitis. Duodenal perforation, bile leakage, peumothorax (0.9%) developed in one each. Duodenal adenocarcinoma was overlooked in one case, and 2 cases (1.8%) suffered from gastric paralysis. Conclusion LC combined with IOC and IOEST was a safe, effective approach to the diagnosis and minimally invasive treatment of choledocholithiasis.
