Laparoscopic-assisted small incision operation for the treatment of common bile duct stones / 中国微创外科杂志

ABSTRACT

Objective To investigate the feasibility of laparoscopic-assisted small incision exploration and stone extraction for the treatment of common bile duct stones. Methods Following the laparoscopic cholecystectomy, the location of the common bile duct was determined under laparoscope. A small abdominal incision was made at the corresponding site and the exploration of common bile duct and extraction of stones were conducted via the incision. Results Among a total of 17 cases, the operation was successfully accomplished in 16 cases and a conversion to open surgery was required in 1 case. The operative time was 90～160 min (mean, 120 min). The number of extracted stones per case was 1～4, with the maximum size of 2.5 cm. All the stones were removed on one session. Postoperative cholangiography 3～4 weeks after the surgery indicated no residual stones. Follow-up for 8～36 months (mean, 14 months) showed no residual stones or occurrence of cholangitis. Conclusions Laparoscopic-assisted small incision exploration and stone extraction for common bile duct stones is feasible, being readily to popularize in basic hospitals.