Laparoscopic cholecystectomy combined with intraoperative cholanggiography and endoscopic sphincterotomy for the treatment of cholecystocholedocholithiasis.

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5年经验总结
Author: Defei HONG ; Junda LI ; Min GAO
Publication Type:Journal Article
Keywords: Laparoscopic cholecystectomy Intraoperative cholangiography Common bile duct stone Endoscopic sphincterotomy
From: Chinese Journal of Minimally Invasive Surgery 2002;0(S1):-
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effects of Laparoscopic cholecystectomy (LC) combined with intraoperative cholanggiography (IOC)and intraoperative endoscopic sphincterotomy (IOEST) for the treatment of cholecystocholedocolithiasis. Methods 106 cases with cholecystocholedocolithiasis diagnosed and treated by LC combined with IOC and IOEST were reviewed retrospectively. Results 60 40%(64/106)patients diagnosed cholelithiasis pre-LC were found choledocholithisis; LC combined with IOC and IOEST was successfully performed on 99 of 106 cases(93 40%),and their CBD stones were completely cleared in 98 of 99 cases(99 00%). Six cases(6 1%) were complicated with mild acute pancreatitis, 1 case(0 01%) with duodenal perforation,1 case(0 01%) with bile leakage, and 2 cases(0 02%) with stomach stasis. Conclusions LC combined with IOC and IOEST was a safe ,effective approach to diagnosis and minimally invasive treatment of cholecystocholedocholithiasis.