Petersson Ulf, Johansen Dorthe, Montgomery Agneta
Department of Surgery, Skane University Hospital Department of Clinical Sciences Malmö, Lund University, Sweden.
Surg Laparosc Endosc Percutan Tech. 2015 Feb;25(1):33-36. doi: 10.1097/SLE.0b013e31829cec5d.
Laparoscopic transcystic common bile duct (CBD) exploration is a safe single-stage procedure for CBD stone clearance. The aim of this report was to describe our experience of transcystic laser lithotripsy in patients with complex CBD stones.
Data from consecutive patients treated with transcystic holmium:YAG laser lithotripsy was collected and analyzed concerning age, sex, number of stones, duct clearance, conversions, operation time, complications, and hospital stay.
Duct clearance was achieved in all (n=8) patients as a single-stage procedure, although 1 had to be converted to open surgery. Median operation time was 225 minutes and hospital stay was 2 days. There was no postoperative morbidity or mortality.
Laparoscopic transcystic use of holmium:YAG laser for complex CBD stones seems safe and efficient even though operation time is long. The technique has the potential of completing the treatment armamentarium for transcystic laparoscopic clearance of difficult CBD stones.
腹腔镜经胆囊管胆总管探查术是一种安全的清除胆总管结石的单阶段手术。本报告的目的是描述我们在复杂胆总管结石患者中进行经胆囊管激光碎石术的经验。
收集并分析连续接受经胆囊管钬激光碎石术治疗患者的年龄、性别、结石数量、胆管清除情况、中转手术情况、手术时间、并发症及住院时间等数据。
所有8例患者均作为单阶段手术实现了胆管清除，尽管有1例不得不转为开腹手术。中位手术时间为225分钟，住院时间为2天。无术后发病或死亡情况。
尽管手术时间较长，但腹腔镜经胆囊管使用钬激光治疗复杂胆总管结石似乎安全有效。该技术有潜力完善经胆囊管腹腔镜清除困难胆总管结石的治疗手段。
