The choice of operative procedures of laparoscopic common bile duct exploration for choledocholithiasis and cholecystolithiasis
10.3760/cma.j.issn.1007-631X.2019.05.015
- VernacularTitle:腹腔镜治疗胆囊结石合并胆总管结石手术方式的选择
- Author:
Jianzhu FU
1
;
Jiajun JI
;
Guangming LI
Author Information
1. 首都医科大学附属北京同仁医院普外科 100730
- Keywords:
Cholecystolithiasis;
Choledocholithiasis;
Laparoscopes
- From:
Chinese Journal of General Surgery
2019;34(5):431-434
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of the laparoscopic common bile duct exploration for choledocholithiasis and cholecystolithiasis.Methods From Jan 2014 to May 2018,laparoscopic common bile duct exploration were successfully completed in 112 cases of choledocholithiasis and cholecystolithiasis.Results Laparoscopic common bile duct exploration was performed successfully in 14 cases through cystic duct,while in 78 cases through the mini-incision at insertion of cystic duct,and in 20 cases through direct incision of common bile duct.In 3 cases T-tube was placed.9 cases developed bile leakage postoperatively and recovered after 3-7 days of conservative treatment.Conclusion Laparoscopic common bile duct exploration through cystic duct is the first choice of common bile duct exploration followed by mini-incision at insertion of cystic duct.Laparoscopic exploration of common bile duct via choledochotomy was performed when there was abnormal anatomy of cystic duct.
