15 Cases on balloon dilation exploration and C tube drainage

doi:10.3877/cma.j.issn.1674-6899.2016.01.014

Abstract

Abstract:

Objective

To Study the safety and feasibility of laparoscopic transcystic duct balloon dilation exploration and C tube drainage on patients with choledocholithiasis.

Methods

15 patients with cholangiolithiasis treated in laparoscopic transcystic duct balloon dilation exploration and C tube drainage from Mar. to Nov. 2015 were retrospectively analyzed.

Results

15 cases were performed completely with laparoscopy. Operative time was (89 ± 18)min, Blood loss was (34 ± 21)ml, peritoneal drainage time was (4.7 ± 1.5)d, flatus was (25.7 ± 9.4)h, postoperative hospital stay was (7.2 ± 1.3)d. Follow-up period, all patients had no postoperative bile leakage, cholangitis, stone of bile duct stricture and residue. All patients were followed up for more than 3 months.

Conclusions

laparoscopic transcystic duct balloon dilation exploration and C tube drainage on patients with choledocholithiasis is relatively safe and effective.

Key words: Laparoscopic, Cystic duct, Balloon dilation, Choledocholithiasis, C tube

Pengbo Jia, Dangjun Zhou, Xiaoqing Li, Xuejun Sun, Yaopeng He, Rui Deng. 15 Cases on balloon dilation exploration and C tube drainage[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(01): 52-54.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.01.014

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References 15

1	黄志强，黄晓强，宋青．黄志强胆道外科手术学[M]．北京：人民军医出版社，2010：327.
2	赵普，杨英，蒋京育，等．腹腔镜与开腹手术治疗肝内胆管结石的对比研究[J]．中国微创外科杂志，2008，8(11): 985-986，999.
3	钱礼．钱礼腹部外科学[M]．北京：人民卫生出版社，2010：671-672.
4	贾蓬勃，魏光兵，李小庆，等．腹腔镜下C管胆道引流术临床观察[J/CD]．中华腔镜外科杂志：电子版，2015，8(1): 59-62.
5	Mandelia A, Gupta, Verma DK, er al.The value of magnetic resonance cholangio pancreatography(MRCP) in the detection of choledocholithiasis[J]．J Chin Diagn Res, 2013, 7(9): 1941-1945.
6	Katanuma A, Maguchi H, Osanai M, er al.Endoscopic treatment of diffcult common bile duct stones[J]．Dig Endosc, 2010, 22(1): 90-97.
7	Attam R, Freeman ML.Endoscopic papillary large balloon dilation for large common bile duct stones[J]．J Hepatobiliary Pancreat Surg , 2009, 16(3): 618-623.
8	Attam R, Freeman ML.Endoscopic papillary balloon dilation for stone extraction: if, when, and for how long[J]．Gastrointest Endosc , 2010, 72(5): 1163-1166.
9	Selvaggi F, Di Bartolomeo N, De Luliis T, et al. Laparoscopic treated so-called reformed gallbladder in patient with postcholecystectomy chronic pain[J]．G Chir, 2011, 32(6): 335-337.
10	陈仁冰，宾学辉，曾德海，等．腹腔镜结合纤维胆道镜经胆囊管行胆总管探查取石6例的体会[J]．腹腔镜外科杂志，2002，7(4): 226.
11	Fujimura M, Hirano M, Sato I, et al.The c tube in biliary surgery: its development and clinical application[J]. Nihon Geka Hokan, 2000, 68(3): 85122.
12	侯郑生，田岛义证，刘京山．腹腔镜下经胆囊管取石及胆囊管内置管(C管)在胆道外科中的应用[J]．腹腔镜外科杂志，2006，11(2): 129-131.
13	板东登志雄，北野正刚．腹腔镜下ｱﾌﾟ口ｰﾁCﾁﾕｰﾌﾞﾄﾞﾚﾅｰｼﾞ(解说1特集)[J]．临床外科，2001, 56(3): 337-342.
14	Berthou JC, Dron B, Charbonneau P, et al.Evaluation of lapa-roscopic treatment of common bile duct stones in a prospective series of 505 patients: indications and results [J]．Surg Endosc, 2007, 21(6): 1970-1974.
15	黄海．腹腔镜下经胆囊管取石治疗胆囊结石合并非扩张性胆总管结石[J]．中国微创外科杂志，2009，9(1): 46-47.

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