Laparoscopic cholecystectomy (LC), intraoperative endoscopic sphincterotomy (ES), and common bile duct stones (CBDS) extraction for management of patients with cholecystocholedocholithiasis

被引：34

作者：

DePalma, GD ^{[1
]}

Angrisani, L ^{[1
]}

Lorenzo, M ^{[1
]}

DiMatteo, E ^{[1
]}

Catanzano, C ^{[1
]}

Persico, G ^{[1
]}

Tesauro, B ^{[1
]}

机构：

[1] UNIV NAPLES FEDERICO II,FAC MED & CHIRURG,SERV CENT ENDOSCOPIA DIGEST,I-80121 NAPLES,ITALY

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1996年 / 10卷 / 06期

关键词：

laparoscopy; cholecystectomy; endoscopy; sphincterotomy;

D O I：

10.1007/BF00188520

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: A combined method of endoscopic sphincterotomy (ES) with common bile duct stone (CBDS) extraction and laparoscopic cholecystectomy (LC) under general anesthesia for a single-session treatment of patients with colecysto-choledocholithiasis is described. Methods: From June 1994 to January 1995, 15 consecutive cases considered for elective LC with preoperative diagnosis of CBDS underwent this procedure. Following orotracheal intubation, the patient is turned on the left lateral decubitus for ES and CBDS extraction. Nasobiliary drainage is positioned for per-laparoscopic cholangiogram. Routine LC is finally performed. Results: These two interventions were successfully accomplished in all patients, Mean duration of the operative time for the combined procedure was 97.7 +/- 30.4 min, range 60-140 min, In four (26.6%) cases an accessory trocar with retracting instrument was used to obviate the bowel distension. Conclusions: No complications of ES or LC were observed. Mean hospital stay was 3 days (range 2-5 days), Routine follow-up (mean 3 +/- 2 months, range 1-12 months) did not reveal biliary-related problems in any of the observed patients.

引用

页码：649 / 652

页数：4

共 20 条

[1]

ANGRISANI L, 1995, SURG LAPAROSC ENDOSC, V5, P197

[2] LAPAROSCOPIC CHOLECYSTECTOMY COMBINED WITH ENDOSCOPIC SPHINCTEROTOMY AND STONE EXTRACTION OR LAPAROSCOPIC CHOLEDOCHOSCOPY AND ELECTROHYDRAULIC LITHOTRIPSY FOR MANAGEMENT OF CHOLELITHIASIS WITH CHOLEDOCHOLITHIASIS [J].

ARREGUI, ME ;

DAVIS, CJ ;

ARKUSH, AM ;

NAGAN, RF .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1992, 6 (01) :10-15

[3] LAPAROSCOPIC MANAGEMENT OF COMMON BILE-DUCT STONES - A MULTIINSTITUTIONAL SAGES STUDY [J].

BERCI, G ;

MORGENSTERN, L .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1994, 8 (10) :1168-1175

[4] THE COMMON BILE-DUCT STONE - TIME TO LEAVE IT TO THE LAPAROSCOPIC SURGEON [J].

BINMOELLER, KF ;

SOEHENDRA, N ;

LIGUORY, C .

ENDOSCOPY, 1994, 26 (03) :315-319

[5]

COTTON PB, 1994, AM J GASTROENTEROL, V89, P169

[6]

DEPAULA AL, 1994, SURG ENDOSC-ULTRAS, V8, P1399

[7]

DESLANDRES E, 1993, GASTROINTEST ENDOSC, V39, P45

[8] LAPAROSCOPIC TRANSCYSTIC PAPILLOTOMY UNDER ENDOSCOPIC CONTROL FOR BILE-DUCT STONES [J].

FERETIS, C ;

KALLIAKMANIS, B ;

BENAKIS, P ;

APOSTOLIDIS, N .

ENDOSCOPY, 1994, 26 (08) :697-700

[9] COMMON BILE-DUCT STONES AFTER LAPAROSCOPIC CHOLECYSTECTOMY AND ITS TREATMENT - THE ROLE OF ULTRASOUND AND INTRAVENOUS AND INTRAOPERATIVE CHOLANGIOGRAPHY [J].

GARCIACABALLERO, M ;

MARTINPALANCA, A ;

VARATHORBECK, C .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1994, 8 (10) :1182-1185

[10] SELECTIVE ERCP AND PREOPERATIVE STONE REMOVAL IN BILE-DUCT SURGERY [J].

HEINERMAN, PM ;

BOECKL, O ;

PIMPL, W .

ANNALS OF SURGERY, 1989, 209 (03) :267-272

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