Objective To sunmarize the clinical experience of
emergency laparoscopic choledocholithotomy plus T-tube
drainage for acute calculous
cholangitis.
Methods We retrospectively analyzed the clinical data of 98 cases with acute calculous
cholangitis undergoing
emergency laparoscopic choledocholithotomy between Mar 2007 to Jul 2011 at our
hospital.Results In this study,93 cases with definite
diagnosis of acute calculous
cholangitis underwent at their acute stage totally laparoscopic choledocholithotomy and T-tube
drainage,2 cases received laparoscopic transeystic
common bile duct exploration and 3 cases were treated with primary closure of the
common bile duct following laparoscopic
common bile duct exploration and intra-
bile duct stent.All
procedures were successful without
conversion to open surgery.The average of the
operative time and the
hospital stay was 96 minutes and 12 days respectively.The major
complications included residual stones in 8 cases,
bile leakage in 4 cases and intraperitoneal
bleeding in I case.All were cured by
conservative therapy.Conclusions For most
patients of acute calculous
cholangitis,
emergency T-tube
drainage after laparoscopic chuledocholithotomy is safe and effective.