Progress of Minimally Invasive Diagnosis and Treatment of Patients with Choledocholithiasis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 MAZhen-nan ,  LIUYuan

Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China;

Corresponding author：

LIUYuan, Email: liuy12@sj-hospital.org

Keywords：

Choledocholithiasis; Minimally invasive treatment

DOI：

10.7507/1007-9424.20160170

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize recent progress of minimally invasive diagnosis and treatment of patients with choledocholithiasis.Method The literatures relevant to progress of minimally invasive diagnosis and treatment of patients with choledocholithiasis at home and abroad in recent years were summarized and reviewed. Results The preoperative diagnosis of patients with choledocholithiasis was very important, and it still needed to combine with the clinical symptoms, biochemical indicators, and imaging examination and so on. Combined or single application of laparoscopy, endoscopy, biliary endoscopy to reflect their respective advantages in the treatment of choledocholithiasis, it had become the most important minimally invasive treatment method. Conclusion Early diagnosis and proper minimally invasive approach are important for good therapeutic efficacy, and realize modern surgical idea for damage control and rapid recovery.

Citation： MAZhen-nan, LIUYuan. Progress of Minimally Invasive Diagnosis and Treatment of Patients with Choledocholithiasis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(5): 631-637. doi: 10.7507/1007-9424.20160170 Copy

1.	Dasari BV, Tan CJ, Gurusamy KS, et al. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev, 2013, 12:CD003327.
2.	Lee A, Min SK, Park JJ, et al. Laparoscopic common bile duct exploration for elderly patients:as a first treatment strategy for common bile duct stones. J Korean Surg Soc, 2011, 81(2):128-133.
3.	马振南, 刘源, 宋久玲, 等.老年人胆总管结石的微创治疗策略选择及临床应用分析(附508例报告).腹腔镜外科杂志, 2015, 20(8):606-610.
4.	Rábago LR, Ortega A, Chico I, et al. Intraoperative ERCP:what role does it have in the era of laparoscopic cholecystectomy? World J Gastrointest Endosc, 2011, 3(12):248-255.
5.	ASGE Standards of Practice Committee; Maple JT, Ikenberry SO, Anderson MA, et al. The role of endoscopy in the management of choledocholithiasis. Gastrointest Endosc, 2011, 74(4):731-744.
6.	Mandelia A, Gupta AK, Verma DK, et al. The value of magnetic resonance cholangiopancreatography (MRCP) in the detection of choledocholithiasis. J Clin Diagn Res, 2013, 7(9):1941-1945.
7.	陈筛扣, 华星, 黄震萍, 等. MRCP在胆道疾病中的应用.中外医学研究, 2015, 13(35):147-148.
8.	Zaheer A, Anwar MM, Donohoe C, et al. The diagnostic accuracy of endoscopic ultrasound in suspected biliary obstruction and its impacton endoscopic retrograde cholangiopancreatography burden in real clinical practice:a consecutive analysis. Eur J Gastroenterol Hepatol, 2013, 25(7):850-857.
9.	Isherwood J, Garcea G, Williams R, et al. Serology and ultrasound for diagnosis of choledocholithiasis. Ann R Coll Surg Engl, 2014, 96(3):224-228.
10.	Lu Y, Wu JC, Liu L, et al. Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones. Eur J Gastroenterol Hepatol, 2014, 26(12):1367-1373.
11.	秦鸣放.腹部外科腹腔镜与内镜治疗学.北京:人民军医出版社, 2010:187-191.
12.	Kawai K, Akasaka Y, Murakami K, et al. Endoscopic sphincterotomy of the ampulla of Vater. Gastrointest Endosc, 1974, 20(4):148-151.
13.	Guo SB, Meng H, Duan ZJ, et al. Small sphincterotomy combined with endoscopic papillary large balloon dilation vs sphincterotomy alone for removal of common bile duct stones. World J Gastroenterol, 2014, 20(47):17962-17969.
14.	Lee HM, Min SK, Lee HK. Long-term results of laparoscopic common bile duct exploration by choledochotomy for choledocholithiasis:15-year experience from a single center. Ann Surg Treat Res, 2014, 86(1):1-6.
15.	Okuno M, Iwashita T, Yoshida K, et al. Significance of endoscopic sphincterotomy preceding endoscopic papillary large balloon dilation in the management of bile duct stones. Dig Dis Sci, 2016, 61(2):597-602.
16.	Leung J, Foster E. How do we ensure that trainees learn to perform biliary sphincterotomy safely, appropriately, and effectively? Curr Gastroenterol Rep, 2008, 10(2):163-168.
17.	Oh HC, Cheon YK, Cho YD, et al. Use of udenafil is not associated with a reduction in post-ERCP pancreatitis:results of a randomized, placebo-controlled, multicenter trial. Gastrointest Endosc, 2011, 74(3):556-562.
18.	Staritz M, Ewe K, Meyerzum BK. Endoscopic papillary dilatation:an alter native to papillotomy[in German with English abstract]? Dtsch Med Wochenschr, 1982, 107(23):895-897.
19.	Jang HW, Lee KJ, Jung MJ, et al. Endoscopic papillary large balloon dilatation alone is safe and effective for the treatment of difficult choledocholithiasis in cases of BillrothⅡgastrectomy:a single center experience. Dig Dis Sci, 2013, 58(6):1737-1743.
20.	于涛, 刘亮, 陈建, 等.内镜下乳头球囊扩张术和乳头括约肌切开术治疗胆总管结石的比较.中华内科杂志, 2011, 50(2):116-119.
21.	Shao D, Chen JP. Comparison of endoscopic papillary balloon dilatation with conventional endoscopic sphincterotomy for peripapillary choledochoduodenal fistula with bile duct stones. Int J Clin Exp Med, 2015, 8(5):8025-8028.
22.	Doi S, Yasuda I, Mukai T, et al. Comparison of long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation:a propensity score-based cohort analysis. J Gastroenterol, 2013, 48(9):1090-1096.
23.	Chen CC. Usefulness of endoscopic papillary balloon dilation for removal of common bile duct stones as compared to endoscopic sphincterotomy. J Chin Med Assoc, 2015, 78(1):48-50.
24.	Tsai TJ, Lai KH, Lin CK, et al. Role of endoscopic papillary balloon dilation in patients with recurrent bile duct stones after endoscopic sphincterotomy. J Chin Med Assoc, 2015, 78(1):56-61.
25.	Chan HH, Lai KH, Lin CK, et al. Endoscopic papillary large balloon dilation alone without sphincterotomy for the treatment of large common bile duct stones. BMC Gastroenterol, 2011, 11:69.
26.	Ersoz G, Tekesin O, Ozutemiz AO, et al. Biliary sphincterotomy plus dilation with a large balloon for bile duct stones that are difficult to extract. Gastrointest Endosc, 2003, 57(2):156-159.
27.	苏进根, 王建平, 陆奕宁, 等.乳头括约肌小切开加大口径柱状气囊扩张治疗胆总管结石的价值.肝胆外科杂志, 2015, 23(2):130-133.
28.	Rebelo A, Ribeiro PM, Correia AP, et al. Endoscopic papillary large balloon dilation after limited sphincterotomy for difficult biliary stones. World J Gastrointest Endosc, 2012, 4(5):180-184.
29.	Guidi MA, Curvale C. Sphincterotomy plus large balloon dilation versus sphincterotomy alone for the extraction of complex lithiasis:A prospective analysis. Rev Esp Enferm Dig, 2015, 107(8):483-487.
30.	Aiura K, Kitagawa Y. Current status of endoscopic papillary balloon dilation for the treatment of bile duct stones. J Hepatobiliary Pancreat Sci, 2011, 18(3):339-345.
31.	Itoi T, Itokawa F, Sofuni A, et al. Endoscopic sphincterotomy combined with large balloon dilation can reduce the procedure time and fluoroscopy time for removal of large bile duct stones. Am J Gastroenterol, 2009, 104(3):560-565.
32.	Kim TH, Oh HJ, Lee JY, et al. Can a small endoscopic sphincterotomy plus a large-balloon dilation reduce the use of mechanical lithotripsy in patients with large bile duct stones? Surg Endosc, 2011, 25(10):3330-3337.
33.	Yang XM, Hu B, Pan YM, et al. Endoscopic papillary large-balloon dilation following limited sphincterotomy for the removal of refractory bile duct stones:experience of 169 cases in a single Chinese center. J Dig Dis, 2013, 14(3):125-131.
34.	Kim KH, Kim TN. Endoscopic papillary large balloon dilation in patients with periampullary diverticula. World J Gastroenterol, 2013, 19(41):7168-7176.
35.	赵海鹰, 刘金钢.腹腔镜手术治疗急性胆管炎合理选择及争议.中国实用外科杂志, 2015, 35(5):486-490.
36.	Xu XD, Dai JJ, Qian JQ, et al. Prevention of pancreatitis after papillary balloon dilatation by nasobiliary drainage:a randomized controlled trial. Dig Dis Sci, 2015, 60(4):1087-1091.
37.	张玉彩, 赵清喜, 毛涛, 等. ENBD和ERBD对胆总管结石ERCP后并发症预防作用.青岛大学医学院学报, 2012, 48(3):264-265, 268.
38.	Zhang RL, Cheng L, Cai XB, et al. Comparison of the safety and effectiveness of endoscopic biliary decompression by nasobiliary catheter and plastic stent placement in acute obstructive cholangitis. Swiss Med Wkly, 2013, 143:w13823.
39.	Koc B, Adas G, Karahan S. Use of laparoscopic common bile duct exploration for failed endoscopic bile duct stone extractions. Minerva Chir, 2014, 69(4):209-215.
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42.	殷子, 徐康, 孙健, 等.腹腔镜胆总管探查取石术后一期缝合与T管引流随机对照试验的系统评价和meta分析.岭南现代临床外科, 2011, 11(6):404-412.
43.	Vidagany N, Domingo Del Pozo C, Peris Tomás N, et al. Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis. Surg Endosc, 2015, 23[Epub ahead of print].
44.	Yi HJ, Hong G, Min SK, et al. Long-term outcome of primary closure after laparoscopic common bile duct exploration combined with choledochoscopy. Surg Laparosc Endosc Percutan Tech, 2015, 25(3):250-253.
45.	Khaled YS, Malde DJ, De Souza C, et al. Laparoscopic bile duct exploration via choledochotomy followed by primary duct closure is feasible and safe for the treatment of choledocholithiasis. Surg Endosc, 2013, 27(11):4164-4170.
46.	Zhang HW, Chen YJ, Wu CH, et al. Laparoscopic common bile duct exploration with primary closure for management of choledocholithiasis:a retrospective analysis and comparison with conventional T-tube drainage. Am Surg, 2014, 80(2):178-181.
47.	Schirmer B, Winters KL, Edlich RF. Cholelithiasis and cholecystitis. J Long Term Eff Med Implants, 2005, 15(3):329-338.
48.	Prasson P, Bai X, Zhang Q, et al. One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi:a systemic review and meta-analysis. Surg Endosc, 2015, 30.[Epub ahead of print].
49.	Abellán Morcillo I, Qurashi K, Abrisqueta Carrión J, et al. Laparoscopic common bile duct exploration. Lessons learned after 200 cases. Cir Esp, 2014, 92(5):341-347.
50.	彭颖, 侯纯升, 徐智, 等.腹腔镜手术治疗残余胆囊结石合并胆总管结石.中国微创外科杂志, 2015, 15(2):107-110.
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1. Dasari BV, Tan CJ, Gurusamy KS, et al. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev, 2013, 12:CD003327.
2. Lee A, Min SK, Park JJ, et al. Laparoscopic common bile duct exploration for elderly patients:as a first treatment strategy for common bile duct stones. J Korean Surg Soc, 2011, 81(2):128-133.
3. 马振南, 刘源, 宋久玲, 等.老年人胆总管结石的微创治疗策略选择及临床应用分析(附508例报告).腹腔镜外科杂志, 2015, 20(8):606-610.
4. Rábago LR, Ortega A, Chico I, et al. Intraoperative ERCP:what role does it have in the era of laparoscopic cholecystectomy? World J Gastrointest Endosc, 2011, 3(12):248-255.
5. ASGE Standards of Practice Committee; Maple JT, Ikenberry SO, Anderson MA, et al. The role of endoscopy in the management of choledocholithiasis. Gastrointest Endosc, 2011, 74(4):731-744.
6. Mandelia A, Gupta AK, Verma DK, et al. The value of magnetic resonance cholangiopancreatography (MRCP) in the detection of choledocholithiasis. J Clin Diagn Res, 2013, 7(9):1941-1945.
7. 陈筛扣, 华星, 黄震萍, 等. MRCP在胆道疾病中的应用.中外医学研究, 2015, 13(35):147-148.
8. Zaheer A, Anwar MM, Donohoe C, et al. The diagnostic accuracy of endoscopic ultrasound in suspected biliary obstruction and its impacton endoscopic retrograde cholangiopancreatography burden in real clinical practice:a consecutive analysis. Eur J Gastroenterol Hepatol, 2013, 25(7):850-857.
9. Isherwood J, Garcea G, Williams R, et al. Serology and ultrasound for diagnosis of choledocholithiasis. Ann R Coll Surg Engl, 2014, 96(3):224-228.
10. Lu Y, Wu JC, Liu L, et al. Short-term and long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones. Eur J Gastroenterol Hepatol, 2014, 26(12):1367-1373.
11. 秦鸣放.腹部外科腹腔镜与内镜治疗学.北京:人民军医出版社, 2010:187-191.
12. Kawai K, Akasaka Y, Murakami K, et al. Endoscopic sphincterotomy of the ampulla of Vater. Gastrointest Endosc, 1974, 20(4):148-151.
13. Guo SB, Meng H, Duan ZJ, et al. Small sphincterotomy combined with endoscopic papillary large balloon dilation vs sphincterotomy alone for removal of common bile duct stones. World J Gastroenterol, 2014, 20(47):17962-17969.
14. Lee HM, Min SK, Lee HK. Long-term results of laparoscopic common bile duct exploration by choledochotomy for choledocholithiasis:15-year experience from a single center. Ann Surg Treat Res, 2014, 86(1):1-6.
15. Okuno M, Iwashita T, Yoshida K, et al. Significance of endoscopic sphincterotomy preceding endoscopic papillary large balloon dilation in the management of bile duct stones. Dig Dis Sci, 2016, 61(2):597-602.
16. Leung J, Foster E. How do we ensure that trainees learn to perform biliary sphincterotomy safely, appropriately, and effectively? Curr Gastroenterol Rep, 2008, 10(2):163-168.
17. Oh HC, Cheon YK, Cho YD, et al. Use of udenafil is not associated with a reduction in post-ERCP pancreatitis:results of a randomized, placebo-controlled, multicenter trial. Gastrointest Endosc, 2011, 74(3):556-562.
18. Staritz M, Ewe K, Meyerzum BK. Endoscopic papillary dilatation:an alter native to papillotomy[in German with English abstract]? Dtsch Med Wochenschr, 1982, 107(23):895-897.
19. Jang HW, Lee KJ, Jung MJ, et al. Endoscopic papillary large balloon dilatation alone is safe and effective for the treatment of difficult choledocholithiasis in cases of BillrothⅡgastrectomy:a single center experience. Dig Dis Sci, 2013, 58(6):1737-1743.
20. 于涛, 刘亮, 陈建, 等.内镜下乳头球囊扩张术和乳头括约肌切开术治疗胆总管结石的比较.中华内科杂志, 2011, 50(2):116-119.
21. Shao D, Chen JP. Comparison of endoscopic papillary balloon dilatation with conventional endoscopic sphincterotomy for peripapillary choledochoduodenal fistula with bile duct stones. Int J Clin Exp Med, 2015, 8(5):8025-8028.
22. Doi S, Yasuda I, Mukai T, et al. Comparison of long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation:a propensity score-based cohort analysis. J Gastroenterol, 2013, 48(9):1090-1096.
23. Chen CC. Usefulness of endoscopic papillary balloon dilation for removal of common bile duct stones as compared to endoscopic sphincterotomy. J Chin Med Assoc, 2015, 78(1):48-50.
24. Tsai TJ, Lai KH, Lin CK, et al. Role of endoscopic papillary balloon dilation in patients with recurrent bile duct stones after endoscopic sphincterotomy. J Chin Med Assoc, 2015, 78(1):56-61.
25. Chan HH, Lai KH, Lin CK, et al. Endoscopic papillary large balloon dilation alone without sphincterotomy for the treatment of large common bile duct stones. BMC Gastroenterol, 2011, 11:69.
26. Ersoz G, Tekesin O, Ozutemiz AO, et al. Biliary sphincterotomy plus dilation with a large balloon for bile duct stones that are difficult to extract. Gastrointest Endosc, 2003, 57(2):156-159.
27. 苏进根, 王建平, 陆奕宁, 等.乳头括约肌小切开加大口径柱状气囊扩张治疗胆总管结石的价值.肝胆外科杂志, 2015, 23(2):130-133.
28. Rebelo A, Ribeiro PM, Correia AP, et al. Endoscopic papillary large balloon dilation after limited sphincterotomy for difficult biliary stones. World J Gastrointest Endosc, 2012, 4(5):180-184.
29. Guidi MA, Curvale C. Sphincterotomy plus large balloon dilation versus sphincterotomy alone for the extraction of complex lithiasis:A prospective analysis. Rev Esp Enferm Dig, 2015, 107(8):483-487.
30. Aiura K, Kitagawa Y. Current status of endoscopic papillary balloon dilation for the treatment of bile duct stones. J Hepatobiliary Pancreat Sci, 2011, 18(3):339-345.
31. Itoi T, Itokawa F, Sofuni A, et al. Endoscopic sphincterotomy combined with large balloon dilation can reduce the procedure time and fluoroscopy time for removal of large bile duct stones. Am J Gastroenterol, 2009, 104(3):560-565.
32. Kim TH, Oh HJ, Lee JY, et al. Can a small endoscopic sphincterotomy plus a large-balloon dilation reduce the use of mechanical lithotripsy in patients with large bile duct stones? Surg Endosc, 2011, 25(10):3330-3337.
33. Yang XM, Hu B, Pan YM, et al. Endoscopic papillary large-balloon dilation following limited sphincterotomy for the removal of refractory bile duct stones:experience of 169 cases in a single Chinese center. J Dig Dis, 2013, 14(3):125-131.
34. Kim KH, Kim TN. Endoscopic papillary large balloon dilation in patients with periampullary diverticula. World J Gastroenterol, 2013, 19(41):7168-7176.
35. 赵海鹰, 刘金钢.腹腔镜手术治疗急性胆管炎合理选择及争议.中国实用外科杂志, 2015, 35(5):486-490.
36. Xu XD, Dai JJ, Qian JQ, et al. Prevention of pancreatitis after papillary balloon dilatation by nasobiliary drainage:a randomized controlled trial. Dig Dis Sci, 2015, 60(4):1087-1091.
37. 张玉彩, 赵清喜, 毛涛, 等. ENBD和ERBD对胆总管结石ERCP后并发症预防作用.青岛大学医学院学报, 2012, 48(3):264-265, 268.
38. Zhang RL, Cheng L, Cai XB, et al. Comparison of the safety and effectiveness of endoscopic biliary decompression by nasobiliary catheter and plastic stent placement in acute obstructive cholangitis. Swiss Med Wkly, 2013, 143:w13823.
39. Koc B, Adas G, Karahan S. Use of laparoscopic common bile duct exploration for failed endoscopic bile duct stone extractions. Minerva Chir, 2014, 69(4):209-215.
40. Lau BJ, Sydorak RM, Shaul DB. Laparoscopic techniques for safe and successful removal of common bile duct stones in pediatric patients. J Laparoendosc Adv Surg Tech A, 2014, 24(5):362-365.
41. Jones M, Johnson M, Samourjian E, et al. ERCP and laparoscopic cholecystectomy in a combined (one-step) procedure:a random comparison to the standard (two-step) procedure. Surg Endosc, 2013, 27(6):1907-1912.
42. 殷子, 徐康, 孙健, 等.腹腔镜胆总管探查取石术后一期缝合与T管引流随机对照试验的系统评价和meta分析.岭南现代临床外科, 2011, 11(6):404-412.
43. Vidagany N, Domingo Del Pozo C, Peris Tomás N, et al. Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis. Surg Endosc, 2015, 23[Epub ahead of print].
44. Yi HJ, Hong G, Min SK, et al. Long-term outcome of primary closure after laparoscopic common bile duct exploration combined with choledochoscopy. Surg Laparosc Endosc Percutan Tech, 2015, 25(3):250-253.
45. Khaled YS, Malde DJ, De Souza C, et al. Laparoscopic bile duct exploration via choledochotomy followed by primary duct closure is feasible and safe for the treatment of choledocholithiasis. Surg Endosc, 2013, 27(11):4164-4170.
46. Zhang HW, Chen YJ, Wu CH, et al. Laparoscopic common bile duct exploration with primary closure for management of choledocholithiasis:a retrospective analysis and comparison with conventional T-tube drainage. Am Surg, 2014, 80(2):178-181.
47. Schirmer B, Winters KL, Edlich RF. Cholelithiasis and cholecystitis. J Long Term Eff Med Implants, 2005, 15(3):329-338.
48. Prasson P, Bai X, Zhang Q, et al. One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi:a systemic review and meta-analysis. Surg Endosc, 2015, 30.[Epub ahead of print].
49. Abellán Morcillo I, Qurashi K, Abrisqueta Carrión J, et al. Laparoscopic common bile duct exploration. Lessons learned after 200 cases. Cir Esp, 2014, 92(5):341-347.
50. 彭颖, 侯纯升, 徐智, 等.腹腔镜手术治疗残余胆囊结石合并胆总管结石.中国微创外科杂志, 2015, 15(2):107-110.
51. 王舟翀, 罗浩.腹腔镜下经胆囊管途径胆总管探查手术1186例文献分析.中国普通外科杂志, 2012, 21(8):941-945.
52. Mann K, Belgaumkar AP, Singh S. Post-endoscopic retrograde cholangiography laparoscopic cholecystectomy:challenging but safe. JSLS, 2013, 17(3):371-375.
53. Lee TH, Hwang SO, Choi HJ, et al. Sequential algorithm analysis to facilitate selective biliary access for difficult biliary cannulation in ERCP:a prospective clinical study. BMC Gastroenterol, 2014, 14:30.
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