Simultaneously use with two or three endoscopy for treatment of gallbladder stones combined with bile duct stones: a report of 2410 cases

doi:10.3877/cma.j.issn.1674-3946.2019.05.026

Abstract

Abstract:

Objective

To explore the surgical technique and clinical effect of primary closure of bile duct incision in laparoscopic common bile duct exploration simultaneous with two endoscopy (laparoscopy+ choledochoscopy) or three endoscopy (laparoscopy+ choledochoscopy+ duodenoscopy) for treatment of gallbladder stones combined bile duct secondary stones.

Methods

Clinical data of 2410 patients who met the inclusion criteria from June 1992 to June 2018 were retrospectively analyzed.

Results

The operation is successful in 2226 (92.4%) out of 2410 patients, 16 cases (0.7%) were shifted to open common bile duct exploration. Bile leakage occurred in 101 cases (4.2%). Residual stones were found in 26 cases (1.1%). Other complications were found in 41 cases (1.7%). Total rate of postoperative complication was 7.0% (169/2410).

Conclusion

From preliminary results of limited cases in our hospital, if patients are suitable, simultaneously use with two endoscopy or three endoscopy for treatment of gallbladder stones combined with bile duct stones is safe and effective.

Key words: Cholecystolithiasis, Choledocholithiasis, Laparoscopy, Suture techniques

Anping Chen, Cong Luo, Zhaocheng Yan, Qiantao Zeng, Huabo Zhou, Yunsheng Suo, An Liu, Zhengxia Wang, Jinheng Liu, Shenglong Zhang. Simultaneously use with two or three endoscopy for treatment of gallbladder stones combined with bile duct stones: a report of 2410 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(05): 511-514.

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References 22

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LDPSC分级	直接一期缝合	LCBDS	LEST	LUCD	LPSCD	LENBD	LEST＋LENBD
N级～0级	1054	0	0	102	0	0	0
1a～1b级	49	27	228	91	233	228	38
2a～4级	0	46	47	8	5	55	102

LDPSC分级	直接一期缝合	LCBDS	LEST	LUCD	LPSCD	LENBD	LEST＋LENBD
N级～0级	1054	0	0	102	0	0	0
1a～1b级	49	27	228	91	233	228	38
2a～4级	0	46	47	8	5	55	102

LDPSC分级	例数	百分百(%)
N级～0级	1156	47.96
1a级～1b级	991	41.12
2a级～4级	263	10.91
合计	2410	100

LDPSC分级	例数	百分百(%)
N级～0级	1156	47.96
1a级～1b级	991	41.12
2a级～4级	263	10.91
合计	2410	100

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