Laparoscopic common bile duct stone endoscopic treatment of 38 cases.docVIP

 PAGE \* MERGEFORMAT 12 Laparoscopic common bile duct stone endoscopic treatment of 38 cases Of: Ruan Lei, Yuan Lirong, Xin-Hua Xu, Cheng-Guang [Abstract] Objective laparoscopic common bile duct exploration with biliary microscopy in lithotomy application technology. Introducing the surgical feasibility in the clinical treatment. Methods to 2004-2009 in our hospital 463 cases of cholelithiasis after laparoscopic surgery common bile duct exploration cholangioscopy lithotomy clinical analysis of 38 cases. Results suture of common bile duct in 4 cases, the rest were placed T tube drainage. transfer into the 5 cases of abdominal surgery, postoperative residual stones in 4 cases, 1 case of biliary leakage . Conclusions Laparoscopic common bile duct in biliary tract surgery can be effective in reducing the use of mirrors within the residual biliary tract stones occur. [Keywords:] Laparoscopy; cholangioscopy; common bile duct exploration Cholelithiasis variability of the biliary structure exists, it is the role in a number of factors easily induced bile duct stones, there are many liver, bile duct stones, common bile duct stones in which a higher prevalence in China, accounting for 5% of patients with gallstones 29%, an average of 18% [1], mainly to surgical treatment. laparoscopic cholecystectomy (LC) is the treatment of cholecystitis and gallstone gold standard [2]. the Court carried out successfully on the basis of LC carried out laparoscopic cholecystectomy plus common bile duct exploration lithotomy (LCBDE), reports on surgical experience and the effect is as follows. 1 Clinical data 1.1 General information on 38 cases in this group 18 males and 20 females; male: female was 1:1.1; age 18 to 72 years, mean 41.6 years, duration of 2 days to 12 years. All operations merge pancreatitis in 3 cases patients, diabetes in 3 cases, 1 case of cirrhosis of the liver, there were 2 cases of LC history. 1.2 Symptoms and laboratory examinations repeated ri