Study on the treatment of 35 patients with cholecystolithiasis and choledocholithiasis by double-port laparoscopic cholecystectomy combined with ultrafine choledochoscope for transcystic common bile duct exploration
10.3760/cma.j.cn113884-20240702-00197
- VernacularTitle:两孔法LC联合超细胆道镜经胆囊管胆总管探查术治疗35例胆囊结石合并胆总管结石患者的研究
- Author:
Yong WANG
1
;
Shilei CHEN
1
;
Xiaosi HU
1
;
Shuai ZHOU
1
;
Chao ZHU
1
;
Qing PANG
1
;
Hongtao PAN
1
;
Huichun LIU
1
;
Hao JIN
1
Author Information
1. 安徽省第二人民医院肝胆胰外科，合肥 230041
- Publication Type:Journal Article
- Keywords:
Gallstones;
Double-port;
Ultrafine choledochoscopy;
Laparoscopic transcystic common bile duct exploration
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(3):197-201
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of double-port laparoscopic cholecystectomy (LC) combined with transcystic common bile duct (CBD) exploration using ultrafine choledochoscopy on patients with gallbladder stones and common bile duct stones.Methods:Clinical data of 35 patients undergoing double-port LC combined with transcystic CBD exploration using ultrafine choledochoscopy in Anhui No.2 Provincial People’s Hospital from December 2021 to June 2024 were retrospectively analyzed, including 8 males and 27 females, aged (45.8±18.1) years. In all patients, the diameter of the gallbladder duct was greater than 3 mm, the maximum diameter of the stones was less than 10 mm, and the number of stones was less than 5, and the gallbladder ducts were normal. Magnetic resonance cholangiopancreatography (MRCP) was used to measure the diameter of CBD, the number and the maximum diameter of stones. The operative time, intraoperative blood loss, postoperative anal exhaust time, postoperative hospital stay and complications (including abdominal infection, biliary tract infection, bile leakage, bleeding, etc.) of all patients were analyzed. The incidence of bile duct stenosis, residual stone or stone recurrence were followed up by telephone or outpatient review.Results:MRCP measurement indicated that the common bile duct diameter of patients was (8.1±1.3) mm. Single CBD stone occurred in 27 cases (77.1%, 27/35), and the mean maximum diameter of CBD stones was (3.9±1.3) mm. All patients successfully underwent the procedure. The operative time was (80.1±10.9) min, the intraoperative blood loss was (25.5±10.2) ml, the recovery time of postoperative anal exhaust was (17.3±4.7) h, and the postoperative hospital stay was (2.5±0.6) d. There were no complications such as abdominal and biliary tract infection, bile leakage and bleeding. All patients were followed up for 1-30 months, with a median follow-up time of 12 months. No biliary stricture, residual stones or recurrence occured during the follow-ups.Conclusion:In selected cases, double-port LC combined with transcystic CBD exploration using ultrafine choledochoscopy could be safe and feasible, with less trauma, quick recovery and short operative time.
