Laparoscopic cholecystectomy combined with normal-sized common bile duct exploration for cholecystolithiasis and choledocholithiasis
10.3760/cma.j.cn113855-20220721-00473
- VernacularTitle:腹腔镜胆囊切除联合胆总管切开取石在胆囊结石合并正常直径胆总管结石患者中的应用
- Author:
Jun ZHANG
1
;
Liqiang LI
;
You JIANG
;
Wenbo LI
;
Liang LI
Author Information
1. 合肥市第二人民医院/安徽医科大学附属合肥医院肝胆外科,合肥 230011
- Keywords:
Cholecystolithiasis;
Choledocholithiasis;
Laparoscopic common bile duct exploration
- From:
Chinese Journal of General Surgery
2023;38(3):189-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate laparoscopic choledocholithotomy in patients with cholecystolithiasis and normal sized common bile duct(CBD) with choledocholithiasis.Methods:The clinical data of 393 patients with cholecystolithiasis and choledocholithiasis treated by LC combined with LCBDE at the Department of General Surgery of Hefei Second People's Hospital from Mar 2014 to Jul 2021 were retrospectively analyzed.Results:There were 280 CBD calculi cases in which CBD diameter >8 mm which was included into CBD dilated group, and 113 cases of CBD calculi with normal diameter (5 mm≤CBD diameter ≤8 mm). There was no difference in operative time and postoperative complications in the small diameter group. During the follow-up period, 1 case in the dilated group experienced biliary tract stenosis and treated by stenting. There was no statistical significance in biliary tract stenosis in both groups ( P>0.05).Stone recurrence occurred in 3 cases (2.7%) in the normal diameter group, all of which were removed by ERCP lithotomy. Stone recurrence occurred in 8 cases (2.9%) in the CBD dilated group, 7 were removed by ERCP stone extraction and 1 refused further treatment. Conclusion:It is safe and feasible to perform LC+LCBDE in patients with cholecystolithiasis complicating normal sized CBD stones.
