Laparoscopic common bile duct exploration 腹腔镜总胆管探查术.PPT

Laparoscopic common bile duct exploration腹腔鏡總膽管探查術 奇美醫學中心　溫義輝 Introduction Biliary T-tube after choledochotomy Advantage: for decompression / cholangiography / retrieval of retained stone Disadvantage: high complication rate (15.3%)*, technical requirement (laparoscopic T-tube placement and suturing) *ANZ J of Surgery 2002 Purpose Retrospective comparison of the results of laparoscopic versus open choledochotomy to seek methods of prevention of T-tube related complications and check the strategy of T-tube free approach. Indication for laparoscopic choledochotomy Stone not suitable TCyD appr