Micro-incision of cystic duct and its junction in laparoscopic common bile duct exploration for chole-docholithiasis
10.3760/cma.j.issn.1007-8118.2019.07.009
- VernacularTitle:胆囊管汇入部微切开在腹腔镜胆总管探查取石术中的应用
- Author:
Jiajun JI
1
;
Jianzhu FU
;
Guangming LI
;
Jixiang WU
Author Information
1. 首都医科大学附属北京同仁医院肝胆外科
- Keywords:
Cholecystolithiasis;
Choledocholithiasis;
Choledochoscope;
Laparoscopes;
Common bile duct exploration
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(7):518-520
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze our experience in laparoscopic common bile duct ( CBD) explo-ration using a 5 mm choledochoscope through a micro-incision at the junction between the cystic duct and the CBD for patients with choledocholithiasis and cholecystolithiasis. Methods From January 2014 to May 2018, laparoscopic common bile duct exploration through a micro-incision at the cystic duct-CBD junction was performed in 77 patients with choledocholithiasis and cholecystolithiasis at Beijing Tongren Hospital, Capital Medical University. Results Laparoscopic common bile duct exploration was performed successfully through a micro-incision in 77 patients with primary suturing of the micro-incision. The range of operation time, blood loss, and hospital stay were 65～150 min, 10～50 ml, and 4～9 d respectively. Seven patients developed minor bile leakage postoperatively and were treated successfully after 3 ～7 days of conservative treatment. Conclusion Common bile duct laparoscopic exploration using a choledochoscope for choledocho-lithiasis and cholecystolithiasis through a micro-incision at the junction of cystic duct and CBD was a safe and effective method.
