Clinical observation of early laparoscopic common bile duct exploration continue to failed endoscopic bile duct stone extraction

VernacularTitle:内镜逆行胰胆管造影术取石失败后即行腹腔镜胆总管探查术的临床观察
Author: Zhaolong XU ; Bing GONG ; Xingmeng TIAN ; Shuangqing GONG ; Yijiang HUANG ; Wenxia YU
Keywords: laparoscopic common bile duct exploration; endoscopic retrograde cholangiopancreatography; extrahepatic bile duct stones
From: China Journal of Endoscopy 2016;22(3):98-100
CountryChina
Language:Chinese
Abstract: Objective To discuss the treatment method and opportunity for patients with gallbladder stones and extrahepatic bile duct stones who failed endoscopic removal of common bile duct stones by endoscopic retrograde cholangiopancreaticography (ERCP). Methods 12 patients, with gallbladder stones and extrahepatic bile duct stones, failed endoscopic stone extraction (ESE), underwent emergency one-stage laparoscopic cholecystectomy (LC) and Laparoscopic common bile duct exploration (LCBDE). Results All of the patients were successfully completed LC +LCBDE and stones were completely removed. Hyperamylasemia occurred in 3 cases and there was no bile leakage, intestinal leakage, cholangitis, pancreatitis, biliary bleeding and other complications. Conclusions Emergency LCBDE has been shown to be a safe and effective salvage procedure for failed ESE.