Clinical application of endoscopic nasobiliary drainage to lapascopic and open operation for common bile duct exploration

VernacularTitle:内镜鼻胆管引流术在腹腔镜和开腹胆总管探查术中的应用
Author: Ning LI ; Mingfang QIN ; Qing WANG
Publication Type:Journal Article
Keywords: Endoscopic nasobiliary drainage(ENBD) Common bile duct exploration Choledocholith
From: Chinese Journal of Minimally Invasive Surgery 2001;0(01):-
CountryChina
Language:Chinese
Abstract: Objective To evaluate the efficacy of laparoscopic and open operation combined with endoscopic nasobiliary drainage(ENBD) in the management of choledocholith. Methods 44 cases treated by laparoscopic common bile duct exploration (LCBDE) and 34 ones by open common bile duct exploration(OCBDE) combined with ENBD and primary suture of common bile duct were retrospectively analyzed from January 1997 to July 2001. Results All cases were operated on successfully. The clearance rate of stones was 100%(78/78). No postoperative complications such as bile leakage, hemobilia, cholangitis, etc occurred. Postoperative hospital stay was (6 2?1 3)days in group LCBDE and (7 4?2 1)days in group OCBDE. 57 cases had been followed up for (1～4 5)years with an average of 2 6 years, and ultrasoundgraphy showed no bile duct stricture and recurrent stones. Conclusions LCBDE or OCBDE combined with ENBD and primary suture of common bile duct is safe and reliable.