Use of mini-abdominal incision for choledochoscopy via cystic duct in exploration of the common bile duct:report of 135 cases
- VernacularTitle:经腹部小切口行胆囊管胆道镜探查胆总管:附135例报告
- Author:
Guangquan ZHANG
;
Zhong LIAO
;
Xianlin WU
;
Fang HE
;
Guoqing LIAO
- Publication Type:Journal Article
- Keywords:
Gallstones/surg;
Choledochoscopy;
Miniature Incision;
Cystic Duct;
Exploration,Common Bile Duct
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of mini-abdominal incision for choledochoscopy via cystic duct in exploration of the common bile duct(CBD).Methods The right subcostal incision was 4-6 cm in length.Choledochoscopy via cystic duct stump for exploration and extraction of CBD stones was done in 135 cases.Results The CBD stone was removed in 109 of 135 patients(80.7%).The CBD exploration was negative in 26 cases(19.3%)and retained CBD stones occurred in 4 cases(3.0%).One case(0.7%)had intraoperative injury of common bile duct,2 cases(1.5%)had tear of cystic duct stump,and 2 cases(1.5%)had biliary leakage,all the 5 cases were recovered after treatment.Conclusions The mini-abdominal incision with choledochoscopy via cystic duct for exploration of the CBD is safe and feasible.
