Clinical Experience of Laparoscopic Choledocholithotomy and Primary Suture: a Report of 58 Cases_West China Medical Journal

Authors：

 ChenBing

The First Department of General Surgery, People's Hospital of Longchang County, Longchang, Sichuan 642150, P. R. China;

Corresponding?author：

Keywords：

Choledocholithiasis; Choledocholithotomy; Laparoscopy; Choledochoscopy; Primary suture

DOI：

10.7507/1002-0179.201600418

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Objective To explore the clinical efficacy and surgical techniques of laparoscopic choledocholithotomy and primary suture. Methods We retrospectively analyzed the clinical data of 58 patients who underwent laparoscopic choledocholithotomy and primary suture between January 2009 and December 2014. Results All the 58 patients underwent the surgery successfully. Operation time was 45-125 minutes, averaging 75 minutes. Intraoperative blood loss was between 10 and 50 mL with an average of 20 mL. Postoperative hospital stay was 5-14 days with an average of 7 days. Four cases of biliary leakage were cured by conservative treatment. Conclusion With operation indications strictly grasped and skillful operation techniques, laparoscopic choledocholithotomy and primary suture are safe and reliable with a good curative effect.

Citation： ChenBing. Clinical Experience of Laparoscopic Choledocholithotomy and Primary Suture: a Report of 58 Cases. West China Medical Journal, 2016, 31(9): 1534-1537. doi: 10.7507/1002-0179.201600418 Copy

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1. Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of dile duct stones[J]. Cochrane Database Syst Rev, 2006, 19(2):CD003327.
2. 吳在德, 吳肇漢. 外科學[M]. 6版. 北京:人民衛生出版社, 2003:570-571.
3. 劉東斌, 劉家峰, 徐大華, 等. 腹腔鏡膽總管切開取石一期縫合術治療膽總管結石53 例分析[J]. 腹腔鏡外科雜志, 2013, 18(7):524-526.
4. 張禮才, 趙士沖. 膽總管探查術后選擇性一期縫合106例臨床研究[J]. 肝膽胰外科雜志, 2012, 24(2):150-151.
5. Karsten TM, Coene PP, van Gulik TM, et al. Morphologic changes of extrahepatic bile ducts during obstruction and subsequent decompression by endoprosthesis[J]. Surgery, 1992, 111(5):562-568.
6. 許松欣, 丁巖冰. 腹腔鏡聯合內鏡治療膽囊結石合并膽總管結石的診治進展[J]. 中國微創外科雜志, 2015, 15(4):376-379.
7. 張卓, 吳衛澤. 內鏡十二指腸乳頭括約肌切開的指征和評價[J]. 外科理論與實踐, 2015, 20(2):98-101.
8. Vila JJ, Artifon EL, Otoch JP. Post-endoscopoic retrograde cholangiopancreatography complications:how canthey be avoided[J]. World J Gastrointest Endosc, 2012, 4(6):241-246.
9. 陶濤, 石剛, 彭祥玉, 等. 腹腔鏡和膽道鏡聯合治療膽總管結石(附523例報道)[J]. 中國普外基礎與臨床雜志, 2009, 16(8):549-653.
10. 郭寶利, 陶洪臣, 李健. 腹腔鏡聯合膽道鏡膽總管切開取石并一期縫合膽總管治療膽總管結石[J]. 醫學臨床研究, 2010, 27(12):2312-2313.
11. 王廣義, 王蒙, 呂國悅. 多鏡聯合治療肝內外膽管結石[J]. 中華消化外科雜志, 2011, 10(3):179-181.
12. 李志鈺, 尹飛飛, 孫世波. 腹腔鏡膽總管探查取石一期縫合與T管引流的臨床對比研究[J]. 腹腔鏡外科雜志, 2015, 20(3):215-218.
13. 王貴陽, 李可為, 李甫, 等. 腹腔鏡下膽總管切開取石一期縫合術23例報告[J]. 腹腔鏡外科雜志, 2012, 17(6):435-437.
14. 黃洪軍, 江勇, 孫冬林, 等. 三孔法腹腔鏡下膽總管探查即時縫合術290例報告[J]. 肝膽胰外科雜志, 2013, 25(5):413-415.
15. 劉澤良, 朱建方, 何偉. 腹腔鏡下膽總管切開探查取石一期縫合術51例報告[J]. 肝膽胰外科雜志, 2015, 27(3):236-238.

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West China Medical Journal

Clinical Experience of Laparoscopic Choledocholithotomy and Primary Suture: a Report of 58 Cases

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