Objective To summarize the curative effect of three-dimensional
spiral CT cholangiography combined with
endoscopic retrograde cholangiopancreatography(
ERCP),
endoscopic sphincterotomy(EST)and
laparoscopic cholecystectomy(LC)for
treatment of
patients with cholelithiasts concurrent with
choledocholithiasis.
Methods A retrospective
analysis was carried out for 30 cases of cholelithiasts concurrent with
choledocholithiasis which were treated with
ERCP and three-dimensional
spiral CT cholangiography before
laparoscopic cholecystectomy from July 2007 to June 2009.And the post operation
parameters were compared with those of 36
patients who received traditional operation from July 2005 to June 2007.Results All the
procedures were successfully accomplished.Complication occurred in 2 cases.both with mild
acute pancreatitis.With the three-dimensional
spiral CT cholangiography,the intra-hepatic
bile ducts,the hepatic
bile duct and the
common bile duct were visible in 100 percent
patients,and choleeyst
bile duct was visible in 73%
patients,and three-dimensional
spiral CT cholangiography can tell the position of cholecyst duct,then can decrease the possibility of damage of
bile duct.The gastrointestinal
function recovery time and
feeding time after operation,the in
hospital time after operation in the
ERCP and three-dimensional
spiral CT cholangiography before
laparoscopic cholecystectomy group were superior to those of the traditional operation
patients(P<0.05).Conclusion
ERCP and three-dimensional
spiral CT cholangiography before
laparoscopic cholecystectomy for
treatment of
patients with cholelithiasts concurrent with
choledocholithiasis is safe,with less
trauma and fast recover after operation and Can decrease the possibility of damaging
bile duct,which can be used widely.