The Combination Of Duodenoscopy And Laparoscopy In Treating Extrahepatic Bile Duct Stone Disease

Objective: To study the advantage to treat extrahepatic bile duct stone disease by. And summarize the notice of Scheme and precaution of complication.Methods: 450 patients with cholecystolithiasis and extrahepatic bile duct stones were selected randomly from Jun.1998 to Dec. 2003. First , they were treated by endoscopy . If extrahepatic bile duct stones had been taken out,. They would undergo laproscopic cholecystectomy(LC) after 1-3 days. The same time 200 patients were randomly selected to perform open common bile duct exploration and T-tube drainage for case-control study. Scheme of Mini-invasive Surgical Treatment were summarized and the post-operative results of the mini-invasive treatment group were observed and analyzed compared with the outcome of the control group.Result: Satisfactory outcomes were obtained. The injury of this scheme of mini-invasive surgical treatment was more less than the laparotomy treatment group. The patients were pain less and recovery faster. So, the postoperative hospitalization period was much shorter than open choledocholithotomy.Conclusion;This scheme utilizes the advantages of techniques of digestive endoscopies and laparoscopy and shows fully the characteristics of mini-invasive surgical means. The results of this study indicate that this scheme is practicable and safe by well-trained endoscopic and laparoscopic surgeons in biliary surgery. It is surperior to open choledocholithotomy.