Abstract:
Objective
To explore the operation methods and indications of duodenoscopic papillotomy during the course of laparoscopic common bile duct exploration (LEPT).
Methods
To accomplish laparoscopic cholecystectomy and common bile duct incision and exploration by choledochoscopy,ureteric catheter and zebra guide wire were inserted through common bile duct incision into duodenal lumen,duodenoscope were inserted into duodenal papilla by mouth.Duodenal papilla was cut by electro-knife with the guide of the ureteric catheter and zebra guide wire.
Results
LEPT was successful performed in 54 out of 56 cases.Two cases were shifted to other operation.One patient had a slight pancreatitis.No cases had perforation of intestine and bile duct,bile leakage,bleeding,severe pancreatitis or death.
Conclusions
If patients are suitable,LEPT is safe and effective.
Key words:
Laparoscopyicsurgicalprocedures,
Endoscopy,digestivesystem,
Papillotomy
An-ping CHEN, Yun-sheng SUO, Hong XIAO, Xian-lin CHEN, Fei-wu LONG, An LIU, Zheng-xia WANG. Duodenoscopic papillotomy during the course of laparoscopic common bile duct exploration: report of 56 cases[J]. Chinese Archives of General Surgery(Electronic Edition), 2009, 03(06): 491-494.