Abstract:Objective:To investigate the effects and methods of minilaparotomy incision operation combined with choledochofiberoscopy in common bile duct (CBD) exploration.
Methods :The clinical data of 296 patients who underwent laparotomy operation combined with choledochofiberoscopy in common bile duct exploration were analyzed retrospectively.Among these 296 patients,there were 253 patients with cholecystolithiasis and common bile duct stone, 4 patients with bile duct ascariasis, 6 patients with MirizziI syndrome, 23 patients with acute suppurative cholangitis, 21 patients with acute pancreatitis and 17 patients with benign papillary stenosis. There were 23 patients treated with choledochotomy, calculus removal, and primary closure by choledochoscope, 18 patients with CBD exploation and removal of calculi through cystic duct with reticular basket under choledochofiberoscope,and no case with T tube drainage; the others underwent choledochotomy, calculi remove and T tube drainage.
Results:All the cases were operated on successfully,and the average time of operation was 55 (40-165)minutes, including 18(10-40) minutes for removing calculi. Two hundred and tweentthree patients were ambulatory and began liquid diet on the next day after operation, and 62 patients used one dose of analgesic. The length of hospital stay was 8-20 days.
Conclusions:The method of the minilaparotomy incision combined with choledochofiberoscopy in common bile duct exploration has the advantages of less trauma, less pain,low complication rate and rapid recovery,and it is also safe and effective. It is worthy of widespread use.