Clinical effect of laparoscopic transcystic drainage combined with common bile duct exploration for the patients with difficult biliary stones

• Published in: Beijing da xue xue bao. Journal of Peking University. Yi xue ban 2022-12, Vol.54 (6), p.1185-1189
• Main Authors: Zhang, L F, Hou, C S, Xu, Z, Wang, L X, Ling, X F, Wang, G, Cui, L, Xiu, D R
• Format: Article
• Language: Chinese
• Subjects: Biliary Tract Surgical Procedures - adverse effects; Common Bile Duct - surgery; Drainage - methods; Gallstones - etiology; Gallstones - surgery; Humans; Laparoscopy - adverse effects; Retrospective Studies
• ISSN: 1671-167X
• DOI: 10.19723/j.issn.1671-167X.2022.06.021

To explore the feasibility and efficacy of laparoscopic transcystic drainage and common bile duct exploration in the treatment of patients with difficult biliary stones. Between April 2020 and December 2021, eighteen patients with difficult biliary stones received laparoscopic transcystic drainage (C-tube technique) and common bile duct exploration. The clinical characteristics and outcomes were retrospectively collected. The safety and effectiveness of laparoscopic transcystic drainage and common bile duct exploration were analyzed. Among the eighteen patients with difficult biliary stones, thirteen patients received traditional laparoscopic transcystic drainage, and the remaining five received modified laparoscopic transcystic drainage. The mean surgical duration were (161±59) min (82-279 min), no bile duct stenosis or residual stone was observed in the patients receiving postoperative cholangiography via C-tube. The maximum volume of C-tube drainage was (500±163) mL/d (180-820 mL/d). Excluding three patien