1.Experience of treatment for common bile duct stones by laparoscope combined with choledochoscope
Deshu WANG ; Shuangyong CAI ; Wenhao CHEN ; Jun ZHANG ; Guanbo CAO ; Jun WU
Journal of Regional Anatomy and Operative Surgery 2015;(4):445-446
Objective To summarize the effect of treatment for common bile duct stones by laparoscope combined with choledocho-scope, and to assess the feasibility in judgment the patency of common bile duct by stone basket. Methods To review and analyze the clini-cal data of 32 patients who were given choledocholithiasis operation through laparoscope combined with choledochoscope,and the operation method,effect and complications were compared. Results In this research,32 choledocholithiasis operations were carried out using laparo-scope combined with choledochoscope from January 2013 to January 2014. The stones of 31 patients were taken out completely,and there were no stone in the other patient. All 32 patients recovered without any complication. After operation,all 32 patients showed unrestricted inferior bile common duct and no residual stone by T-tube cholangiography. Conclusion It showed satisfactory effect in treatment of choledocholithi-asis by laparoscope combined with choledochoscope. Compared to traditional laparotomy,which showed less injure and faster recovery. It is a simple and feasible method to judge the patency of common bile duct using large size stone basket combined with methylene blue injection.
2.Diagnosis and treatment of unicentric hepatic Castleman disease
Rui LI ; Yongfu LI ; Jun ZHANG ; Shuangyong CAI ; Jun WU ; Deshu WANG
Chinese Journal of Digestive Surgery 2023;22(S1):87-90
Unicentric Castleman disease (CD) is a rarely abnormal lymphoproliferative disease with unknown etiology and hyaline vascular variant is the most common histopathological type. The clinical manifestations of unicentric CD are solitary masses with slow growth, mainly occurring in the mediastinum, abdominal cavity, retroperitoneum, pelvis, and neck. Application of multidisciplinary cooperation between surgical, radiologic, pathological and oncological experts is necessary for the diagnosis and treatment of unicentric CD, in order to achieve good treatment results. The best treatment method for unicentric CD is surgical resection. With the accumulation of experience and technological progress, there may be more precise and minimally invasive surgical methods such as laparoscopic or robotic techniques besides open surgery. The authors report the diagnosis and treatment of unicentric hepatic CD, aiming to provide reference for related treatments.