Clinical Study On Different Combinations Of Laparoscopy, Duodenoscope, And Choledochoscope In Treatment Of Cholecystolithiasis And Choledocholithiasis

Objective:Extrahepatic bile duct stone is a kind of common and frequently-occurring disease in general surgery.As the development of laparoscopy,duodenoscope,and choledochoscope,the minimally-invasive therapy has been improved quickly.This article is to explore the minimally invasive treatment of cholecystolithiasis and choledocholithiasis.Methods:To summarize 260 cases of choledocholithiasis/ +cholecystolithiasis patients who were treated with different combinations of laparoscopy,duodenoscope,and choledochoscope associated with laparoscopic ultrasound in Qianfoshan Hospital of Shandong Province from Oct,2006 to Sep,2008.Results:1.The surgery success rate of laparoscopic cholecystectomy(LC) is 98%.2.The surgery success rate of duodenoscopy surgery is 80%,others were conversed to laparoscopic common bile duct exploration(LCBDE).3.The surgery success rate of LCBDE is 100%.4.No serious complication occurred.201 cases were followed up from 5 months to 2 years.No evidence for bile duct injury and biliary stricture was found,and choledocholith recurred in 6 cases which were succeed in duodenoscopy surgery again. Conclusion:1.Reasonable applications of different combinations of laparoscopy, duodenoscope,and choledochoscope afford different choices for the minimally-invasive therapy of cholecystolithiasis and choledocholithiasis.2.Associated with laparoscopic ultrasound,these methods make operations finished efficiently and safely.