Clinical Experience of Laparoscopic Choledocholithotomy and Primary Suture: a Report of 58 Cases_West China Medical Journal

Authors：

 ChenBing

The First Department of General Surgery, People's Hospital of Longchang County, Longchang, Sichuan 642150, P. R. China;

Corresponding author：

Keywords：

Choledocholithiasis; Choledocholithotomy; Laparoscopy; Choledochoscopy; Primary suture

DOI：

10.7507/1002-0179.201600418

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Objective To explore the clinical efficacy and surgical techniques of laparoscopic choledocholithotomy and primary suture. Methods We retrospectively analyzed the clinical data of 58 patients who underwent laparoscopic choledocholithotomy and primary suture between January 2009 and December 2014. Results All the 58 patients underwent the surgery successfully. Operation time was 45-125 minutes, averaging 75 minutes. Intraoperative blood loss was between 10 and 50 mL with an average of 20 mL. Postoperative hospital stay was 5-14 days with an average of 7 days. Four cases of biliary leakage were cured by conservative treatment. Conclusion With operation indications strictly grasped and skillful operation techniques, laparoscopic choledocholithotomy and primary suture are safe and reliable with a good curative effect.

Citation： ChenBing. Clinical Experience of Laparoscopic Choledocholithotomy and Primary Suture: a Report of 58 Cases. West China Medical Journal, 2016, 31(9): 1534-1537. doi: 10.7507/1002-0179.201600418 Copy

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1. Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of dile duct stones[J]. Cochrane Database Syst Rev, 2006, 19(2):CD003327.
2. 吴在德, 吴肇汉. 外科学[M]. 6版. 北京:人民卫生出版社, 2003:570-571.
3. 刘东斌, 刘家峰, 徐大华, 等. 腹腔镜胆总管切开取石一期缝合术治疗胆总管结石53 例分析[J]. 腹腔镜外科杂志, 2013, 18(7):524-526.
4. 张礼才, 赵士冲. 胆总管探查术后选择性一期缝合106例临床研究[J]. 肝胆胰外科杂志, 2012, 24(2):150-151.
5. Karsten TM, Coene PP, van Gulik TM, et al. Morphologic changes of extrahepatic bile ducts during obstruction and subsequent decompression by endoprosthesis[J]. Surgery, 1992, 111(5):562-568.
6. 许松欣, 丁岩冰. 腹腔镜联合内镜治疗胆囊结石合并胆总管结石的诊治进展[J]. 中国微创外科杂志, 2015, 15(4):376-379.
7. 张卓, 吴卫泽. 内镜十二指肠乳头括约肌切开的指征和评价[J]. 外科理论与实践, 2015, 20(2):98-101.
8. Vila JJ, Artifon EL, Otoch JP. Post-endoscopoic retrograde cholangiopancreatography complications:how canthey be avoided[J]. World J Gastrointest Endosc, 2012, 4(6):241-246.
9. 陶涛, 石刚, 彭祥玉, 等. 腹腔镜和胆道镜联合治疗胆总管结石(附523例报道)[J]. 中国普外基础与临床杂志, 2009, 16(8):549-653.
10. 郭宝利, 陶洪臣, 李健. 腹腔镜联合胆道镜胆总管切开取石并一期缝合胆总管治疗胆总管结石[J]. 医学临床研究, 2010, 27(12):2312-2313.
11. 王广义, 王蒙, 吕国悦. 多镜联合治疗肝内外胆管结石[J]. 中华消化外科杂志, 2011, 10(3):179-181.
12. 李志钰, 尹飞飞, 孙世波. 腹腔镜胆总管探查取石一期缝合与T管引流的临床对比研究[J]. 腹腔镜外科杂志, 2015, 20(3):215-218.
13. 王贵阳, 李可为, 李甫, 等. 腹腔镜下胆总管切开取石一期缝合术23例报告[J]. 腹腔镜外科杂志, 2012, 17(6):435-437.
14. 黄洪军, 江勇, 孙冬林, 等. 三孔法腹腔镜下胆总管探查即时缝合术290例报告[J]. 肝胆胰外科杂志, 2013, 25(5):413-415.
15. 刘泽良, 朱建方, 何伟. 腹腔镜下胆总管切开探查取石一期缝合术51例报告[J]. 肝胆胰外科杂志, 2015, 27(3):236-238.

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West China Medical Journal

Clinical Experience of Laparoscopic Choledocholithotomy and Primary Suture: a Report of 58 Cases

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