Combined laparoscopy and fiberoptic choledochoscopy
Treatment of common bile duct stones with one-stage suturing
General Surgery Department, Xuanwu Hospital, Capital Medical University
Zheng Yamin
Background information of surgery
The classic treatment for common bile duct stones is common bile duct exploration and extraction and T-tube drainage.
Zheng Yamin, Department of General Surgery, Xuanwu Hospital, Capital Medical University
In 1991, Phillip successfully performed the first laparoscopic choledochotomy for stone extraction
Laparoscopic common bile duct exploration stone extraction laparoscopic common bile duct
exploration (LCBDE)
Laparoscopic common bile duct extraction T-tube drainage (LCTD), transcystic ductal exploration (LCDE), and common bile duct excision and stone extraction with one-stage suturing
Surgical background information
Laparoscopic transcystic common bile duct exploration (laparoscopic transcystic common bile
(laparoscopic transcystic common bile duct exploration LTCBDE) group; laparoscopic choledochotomy (laparoscopic choledochotomy LD ) + T-tube drainage (TD) group; LD + primary suture (PS) group; endoscopic papillary sphincterotomy ( endoscopic sphincterotomy +T tube, EST) + laparoscopic cholecystectomy (laparoscopic cholecystectomy LC); endoscopic nasobiliary drainage (endoscopic nasobiliary drainage, ENBD) + LD group.
Indications for LCBDE
Indication for laparoscopic cholecystectomy
gallbladder stones secondary to common bile duct stones
primary common bile duct stones requiring only choledochotomy for drainage
Secondary common bile duct stones without bile duct stricture
Selected biliary ascariasis without obvious biliary tract infection
Laparoscopic cholecystectomy
-Fibreoptic choledochoscopic exploration of common bile duct stones