| 篇名 |
Laparoscopic Common Bile Duct Exploration:Experience of 22 Patients |
| 作者 |
Yi-Ju Wu, Hurng-Sheng Wu, Dev-Aur Chou, Min-Zheng Tang, Min-Chang Hung,Chin-Hung Hsu, Chi-Hung Tsai, Jyh-Chung Yang, Min-Ho Hung |
| 卷期/出版年月 |
38卷6期 (2005/12) |
| 頁次 |
274-278 |
| 摘要 |
Objectives: Laparoscopic common bile duct exploration (LCBDE) is gaining favor
for the management of common bile duct stones. This study presents our laparoscopic
approach in patients with common bile duct stones.
Materials and Methods: Between January 2000 and December 2002, 69 patients
with CBD stones were reviewed and collected information. Thirty-six patients (52%)
of these 69 patients with CBD stones were managed by open exploration. LCBDE was
attempted in 22 selected patients (32%) with stable hemodynamic states. The other 11
patients (16%) were managed by robot-assisted LCBDE. LCBDE was carried out
with a choledochotomy and T-tube drainage.
Results: We divided the 22 patients who had undergone LCBDE into two groups for
analysis. In two cases (9%), the LCBDE was converted to open common bile duct
exploration. The first 17 patients were assigned to group A, and the last 5 patients to
group B. There were no operative mortalities, but 2 cases of complications (9%) in
group A, and 1 case of retained stones (4.5%) in group B. One patient with recurrent
stones underwent hepaticojejunostomy.
Conclusions: LCBDE is not yet accepted as the standard procedure for choledocholithiasis,
and we need more cases to fully evaluate the safety and feasibility of
LCBDE for further trials and meta-analyses. |
| 關鍵詞 |
common bile duct stone, laparoscopic common bile duct exploration |
| 分類 |
Original Article |
