Alecu L, Marin A, Corodeanu Gh, Gulinescu L
Secţia Chirurgie Generală, Spitalul Militar de Urgenţă Prof. Dr. Agrippa Ionescu, Bucureşti.
Chirurgia (Bucur). 2003 Mar-Apr;98(2):175-82.
Of this study was to evaluate the treatment of common bile duct stones (CBDS) by laparoscopic choledochoscopy.
Between 1997-2002, 9 patients (with age between 42-75 years) were treated laparoscopic for CBDS: 8 cases with choledocholithiasis; 1 case with pancreatic neoplasm. Laparoscopic choledochoscopy was performed in 7 cases (84.4%). We used the choledochoscope Pentax of 5 mm diameter and with work canal.
We performed the CBD exploration with: transcystic approach-1 case; choledochotomy-6 cases. The CBD diameter was between 1.2-1.5 cm. The bile duct stones diameter were between 0.5-1.5 cm. We performed with successfully the laparoscopic choledochoscopy exploration and extraction of CBD stones to all patients. External biliary drainage (transcystic duct and with Kehr-tube) were done systematically. The major complication (choleperitoneum) occurred in 2 cases (28.5%). The occurrence of residual ductal stones was 0.
The laparoscopic treatment of choledocholithiasis is feasible, safe and efficient.
本研究旨在评估腹腔镜胆道镜治疗胆总管结石（CBDS）的效果。
1997年至2002年间，9例年龄在42至75岁之间的患者接受了腹腔镜下胆总管结石治疗：8例为胆总管结石；1例为胰腺肿瘤。7例（84.4%）患者进行了腹腔镜胆道镜检查。我们使用了直径5毫米、带有工作通道的宾得胆道镜。
我们采用以下方式进行胆总管探查：经胆囊途径1例；胆总管切开术6例。胆总管直径在1.2至1.5厘米之间。胆管结石直径在0.5至1.5厘米之间。我们成功地对所有患者进行了腹腔镜胆道镜探查和胆总管结石取出术。系统地进行了外引流（经胆囊管和Kehr管）。主要并发症（胆汁性腹膜炎）发生2例（28.5%）。残留胆管结石发生率为0。
腹腔镜治疗胆总管结石是可行、安全且有效的。
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