Balloon nasobiliary vs ureteral catheter drainage for normal caliber choledocholithotomy under a triad of laparoscope, choledochoscope and duodenoscopy
10.3760/cma.j.issn.1007-631X.2017.10.014
- VernacularTitle:气囊鼻胆管与输尿管导管引流术在同期三镜下治疗细径胆总管结石中的比较
- Author:
Huabo ZHOU
1
;
Anping CHEN
;
Yijia HE
;
Yuan GAO
;
Hualin LI
Author Information
1. 遵义医学院研究生院
- Keywords:
Choledocholithiasis;
Laparoscopes;
Drainage;
Ureter
- From:
Chinese Journal of General Surgery
2017;32(10):843-846
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate laparoscopic balloon nasobiliary biliary drainage (LBNBD),vs ureteral catheter drainage in one stage laparoscopy,choledochoscopy and duodenoscopy choledocholithotomy and primary closure of the small calibered common bile duct (diameter 0.3-0.8 cm).Methods During the period of Apr 2010 to Nov 2016 102 cases were enrolled including 50 cases receiving LBNBD and 52 cases using ureteral catheter drainage.Results Between the two groups,LBNBD was superior to ureteral catheter drainage in all the following parameters:the operation time,intraoperative blood loss,postoperative liver function,blood amylase and other laboratory indicators,gastrointestinal function recovery time,gastrointestinal symptoms and electrolyte imbalance,postoperative hospital stay,and bile duct drainage time with all differences statistically significant (P ＜ 0.05).Bile drainage differences during the postoperative first 3 days (averagely 200-400 ml a day) were not statistically different (P ＞ 0.05).Postoperative pancreatitis,bile leakage,and hemobilia were not statistically different (P ＞ 0.05).Conclusions The use of LBNBD is safe and effective in endoscopic choledocholithotomy in cases of small calibered common bile duct.
