CHENAn-ping , HUTing , LIHua-lin , WANGJia-mu , SUOYun-sheng , LIUAn , YIBin , ZHANGSheng-long
  • Department of Hepatobiliary Surgery, The Second Hospital of Chengdu City, Chengdu 610017, Sichuan Province, China;
CHENAn-ping, Email: chenanping1954@163.com
Laparoscope; Choledochoscope; Duodenoscope; Sphincterotomy; Cholelithiasis
10.7507/1007-9424.20140227
Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables References Cited by

Objective To summarize the clinical experience on combination of laparoscopy, choledochoscopy, and duodenoscopy in treatment of cholecystolithiasis with small diameter of choledocholith during the same period via multiple approach. Methods The clinical data of 71 cases of cholecystolithiasis with small diameter(The internal diameter of common bile duct was 4-8 mm)of choledocholith underwent laparoscopic cholecystectomy(LC)plus laparoscopic and endoscopic cholelithotomy plus laparoscopic and endoscopic sphincterotomy(LC+LEC+LEST)from February 2001 to December 2013 in this hospital were analyzed retrospectively. Firstly, the LC and common bile duct exploration was performed, then the ureteral catheter or zebra guide wire was inserted into the common bile duct and duodenum cavity through cystic duct or common bile duct incision. Under the guidance of ureteral catheter or zebra guide wire, the choledochoscope was inserted into the common bile duct and cholelithotomy was performed by stone net or electrohydraulic lithotripsy. Then, the duodenoscope was inserted into the papillary of duodenum, the papillary of duodenum was cut by the pin-headlike electro-knife along the ureteric catheter or zebra guide wire, choledocholith was removed with the reticulation of choledochoscopy and duodenoscopy. Results LC+LEC+LEST was successfully performed on 71 cases of cholecystolithiasis with small diameter of choledocholith. The placement of a catheter via cystic incision was in 59 cases, via common bile duct incision was in 22 cases. The common bile duct stones of 64 patients were completely removed under the choledochoscope, of 12 patients were completely removed under the combination of choledochoscope and duodenoscope. No case was converted to laparotomy. The bile leakage occurred in 5 cases and cured by patent drainage. The slight pancreatitis occurred in one case after operation. There was no patient with residual stones, perforations of intestine and bile duct, hemorrhoea, severe pancreatitis, or death. Conclusion If patients are indicated, LC+LEC+LEST is safe and effective to remove the cholecystolithiasis with small diameter of choledocholith.

Citation： CHENAn-ping, HUTing, LIHua-lin, WANGJia-mu, SUOYun-sheng, LIUAn, YIBin, ZHANGSheng-long. Combination of Laparoscopy, Choledochoscopy, and Duodenoscopy in Treatment of Cholecystolithiasis with Small Diameter of Choledocholith(Report of 71 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(8): 946-950. doi: 10.7507/1007-9424.20140227 Copy

  • Previous Article

    Experience of Laparoscopic Pancreaticoduodenectomy in Treatment of 45 Patients with Periampullary Diseases

  • Next Article

    Ultrasound-Guided Percutaneous Transhepatic Gallbladder Drainage Combined Laparoscopic Cholecystectomy in Treatment of Severe acute Cholecystitis(Report of 117 Cases)