Management of choledocholithiasis during pregnancy by laparoscopic transcystic common bile duct stone extraction and cholecystectomy
10.3760/cma.j.issn.1007-631X.2019.02.011
- VernacularTitle:腹腔镜经胆囊管取石及胆囊切除治疗妊娠期胆总管结石
- Author:
Lingfu ZHANG
1
;
Chunsheng HOU
;
Lixin WANG
;
Xiaofeng LING
;
Gang WANG
;
Long CUI
;
Zhi XU
;
Dianrong XIU
Author Information
1. 北京大学第三医院普通外科 100191
- Keywords:
Pregnancy;
Choledocholithiasis;
Laparoscopes
- From:
Chinese Journal of General Surgery
2019;34(2):136-138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of laparoscopic transcystic common bile duct stone extraction and cholecystectomy in pregnant patients with choledocholithiasis.Methods A retrospective analysis of 4 pregnant patients with choledocholithiasis was performed.The clinicoradiologic,perioperative and follow up data were analyzed.Results The 4 patients were admitted for acute cholangitis at their second trimester of pregnancy.Preoperative MRCP demonstrated that the diameter of the common bile duct stone was less than that of the cystic duct.Laparoscopic transcystic common bile duct stone extraction and cholecystectomy were successfully conducted.Plasma shock wave lithotripsy was applied in one patient with impacted gallstone,intraoperative cholangiography was conducted in one patient with suspected residual stone.There was not major post-op complications nor stone recurrence in the follow up postoperatively.They all delivered a healthy baby on the expected date of childbirth.Conclusions Simutaneously laparoscopic transcystic common bile duct stone extraction and cholecystectomy in pregnant patients with choledocholithiasis is feasible and safe.
