Clinical evaluation of laparoscopic common bile duct exploration in 587 cases / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To summarize the experience of laparoscopic common bile duct exploration.</p><p><b>METHODS</b>The clinical data of 587 cases who underwent laparoscopic common bile duct exploration from June 1992 to May 2006 were analyzed.</p><p><b>RESULTS</b>The surgery was successful in 585 cases (99.7%), 2 cases were converted to open common bile duct exploration. The duration of operation was 60 approximately 230 min (averaged 85 min), the complications consisted of biliary fistula (n=13), injury of the duodenum (n=1), abscess of drainage tube orifice (n=1), titanium clip discharging out from T tube (n=3), residual common bile duct stones (n=35). The patients could take food and walk on the second postoperative day and average postoperative hospital stay was 4.6 days.</p><p><b>CONCLUSIONS</b>Laparoscopic common bile duct exploration is a safe and effective procedure in treating the calculus of bile duct.</p>