Laparoscopic choledocholithotomy with T-tube drainage
- VernacularTitle:腹腔镜胆总管切开取石T管引流术
- Author:
Nengwei ZHANG
;
Yiping LU
;
Tongsheng WANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic common bile duct exploration;
Choledocholithiasis
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and significance of laparoscopic choledocholithotomy with T-tube drainage. Methods A total of 60 cases of common bile duct stones complicated with gallbladder stones were treated with laparoscopic cholecystectomy and common bile duct exploration with T-tube drainage. Results The operation was performed successfully in all the cases,without conversions to open surgery.Bile leakage occurred in 2 cases and was cured with conservative treatment.Residual stones were found in 6 cases and a postoperative choledochoscopy was required.The operative time was 90~180 min(mean,110 min),the blood loss was 10~50 ml(mean,20 ml).Follow-up checkups in 53 cases(88.3%) for 2~33 months(mean,13.2 months) revealed no abdominal pain,fever,or jaundice.Conclusions Laparoscopic cholecystectomy and common bile duct exploration for the treatment of common bile duct stones complicated with gallbladder stones is feasible and minimally invasive.
