Gao Y.,Zunyi Medical College |
Chen A.-P.,The Second Peoples Hospital of Chengdu City |
Li H.-L.,Zunyi Medical College |
Hu T.,Zunyi Medical College
World Chinese Journal of Digestology | Year: 2015
AIM: To present our experience with the management of cholecystolithiasis with stones in the small-diameter common bile duct by using duodenoscopic balloon nasobiliary exploration (LDBNE) during the course of therapeutic laparoscopy. METHODS: The clinical data for 59 cholecystolithiasis patients with stones in the small-diameter common bile duct (0.2-0.8 cm) who underwent laparoscopic duodenoscopic papillotomy, balloon nasobiliary exploration and cholelithotomy (LDBNE) from April 2010 to July 2015 at the Second People’s Hospital of Chengdu City were analyzed retrospectively. RESULTS: LDBNE was performed in 59 cases, and the gallbladder was successfully removed in all the 59 cases. The common bile duct stones were removed by duodenoscopic papillotomy in 42(71.2%) cases and by balloon nasobiliary in (18.6%) cases. Five (8.5%) cases were converted to laparoscopic common bile duct exploration. Residual stone after duodenoscopic papillotomy was noted in 1(1.7%) case. Bile leakage developed in 1(1.7%) case and was cured by patent drainage and nasobiliary drainage postoperatively. Three (5.1%) cases developed mild pancreatitis and were conservatively cured. The rate of overall postoperative complications was 8.5% (5/59). No perforation of the intestine or bile duct, bleeding, severe pancreatitis or death occurred. CONCLUSION: Application of duodenoscopic balloon nasobiliary exploration to therapeutic laparoscopy for treatment of cholecystolithiasis with stones in the small-diameter common bile duct is safe and effective. © 2015 Baishideng Publishing Group Inc. All rights reserved.