Combination of operation with choledochoscopy and duodenoscopy during the course of therapeutic laparoscopy: report of 1594 cases

doi:10.3877/cma.j.issn.1674-0793.2010.03.017

Chinese Archives of General Surgery(Electronic Edition) ›› 2010, Vol. 04 ›› Issue (03): 252-254. doi: 10.3877/cma.j.issn.1674-0793.2010.03.017

Special Issue: ；；

• Original Article • Previous Articles Next Articles

Combination of operation with choledochoscopy and duodenoscopy during the course of therapeutic laparoscopy: report of 1594 cases

An-ping CHEN¹^,^†(), Yun-sheng SUO¹, Hong XIAO¹, Xian-lin CHEN¹, Fei-wu LONG¹, An LIU¹, Zheng-xia WANG¹

^1. Department of Hepatobiliary Surgery, the Second Hospital of Chengdu City, Chengdu 610017, China

Received:2009-03-26 Online:2010-06-01 Published:2010-06-01
Contact: An-ping CHEN
About author:
Corresponding author: CHEN An-ping, Email: chenanping1954@163.com

Abstract

Abstract:

Objective

To summarize the experience of the combination operation of laparoscopy, choledochoscopy and duodenoscopy for treatment of extrahepatic bile duct stones and stenosis of terminal choledoch during the course of therapeutic laparoscopy (LCDST).

Methods

The clinical data of 1594 patients undergoing LCDST were analyzed retrospectively from March 1992 to March 2009 in our hospital.

Results

The procedure was successful in 857 in 905 cases with primary suture of duct incision and 633 in 689 cases with T tube drainage. Fourteen cases were shifted to open common bile duct exploration. Bile leakage occurred in 59 cases. Residual stones were not removed by endoscopy in 11cases. Fifteen cases were other complications. Five cases died postoperatively.

Conclusion

If patients are suitable, LCDST is a feasible, safe and effective method for skilled endoscopists.

Key words: Common bile duct diseases, Laparoscopy, Cholelithiasis

An-ping CHEN, Yun-sheng SUO, Hong XIAO, Xian-lin CHEN, Fei-wu LONG, An LIU, Zheng-xia WANG. Combination of operation with choledochoscopy and duodenoscopy during the course of therapeutic laparoscopy: report of 1594 cases[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(03): 252-254.

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1	陈安平，鲁美丽，高珂，等.腹腔镜胆总管探查术693例报告.中华普通外科杂志，2004，19(2):82-84.
2	陈安平，肖宏，温宜清，等.腹腔镜胆总管探查术的临床应用（附822例报告）.中国实用外科杂志，2005，25(6):365-366.

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