A decade of washing out common bile duct stones with papillary balloon dilatation as a one-stage procedure during laparoscopic cholecystectomy

被引：13
作者：
Sjer, A. E. B. [2 ]
Boland, D. M. [1 ]
van Rijn, P. J. J. [1 ]
Mohamad, S. [3 ]
机构：
[1] t Lange Land Hosp, Dept Surg, NL-2725 NA Zoetermeer, Netherlands
[2] Diakonessen Hosp, Dept Surg, Utrecht, Netherlands
[3] t Lange Land Hosp, Dept Radiol, NL-2725 NA Zoetermeer, Netherlands
来源：
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2010年 / 24卷 / 09期
关键词：
Common bile duct stones; One-stage procedure; Laparoscopic cholecystectomy; Choledocholithiasis; Cholelithiasis; Papillary balloon dilatation; EXPLORATION; MANAGEMENT; CHOLECYSTOCHOLEDOCHOLITHIASIS; CHOLEDOCHOLITHIASIS; ERCP;
D O I：
10.1007/s00464-010-0937-x
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background Laparoscopic cholecystectomy is the treatment of choice for the management of cholecystolithiasis. For the management of choledocholithiasis, a number of options exist. The effectiveness of washing out common bile duct stones with laparoscopic transcystic papillary balloon dilatation (LTPBD) in patients undergoing laparoscopic cholecystectomy (LC) as a one-stage procedure was evaluated. Methods Retrospectively, the files of 63 patients treated with LTPBD in a one-stage procedure undergoing laparoscopic cholecystectomy between December 1996 and December 2006 were studied. Results Fifty-three patients were treated successfully in a one-stage procedure, seven patients were treated in two steps with an endoscopic retrograde cholangiopancreatography (ERCP) postoperatively, and in three cases a conversion to open surgery was required. The median operation time was 128 min, and the median hospital stay was 4 days. No patients developed postoperative pancreatitis. In one case contrast leakage from the common bile duct was detected. It was the only complication directly related to the LTPBD. There were no postoperative deaths. Conclusions We consider the wash out of common bile duct stones after LTPBD in a one-stage procedure to be an easy to do and safe operation with great results. Cooperation with an intervention radiologist and application of an angioplastic dilatation dotter balloon catheter are the keys to success in this procedure. In our hospital, it is the treatment of choice for choledocholithiasis associated with cholelithiasis.
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页码：2226 / 2230
页数：5
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