Objective:To investigate the diagnosis and treatment of calculus in neck and duct of gallbladder during laparoscopic operation.
Methods :The clinical data of 87 cases of calculus in neck and duct of gallbladder were analyzed retrospectively.
Results:There were 83 cases of cholecystolithiasis and calculus in neck and duct of gallbladder, and 4 cases of cholecystolithiasis and calculus in neck and duct of gallbladder and with common duct stones. Of them, 61 cases of calculus in neck and duct of gallbladder were detected during operation. Sixtynine cases had single stone in duct of gallbladder, and 18 had multistones. All of the 87 cases had successful laparoscopic surgery,and among them, 81 cases had laparoscopic cholecystectomy(LC), and 6 had LC and laparoscopic bile duct exploration and T tube drainage. There were no complications and all were cured and discharged.
Conclusions:During laparoscopic operation,it is imporant to pay high attention to and identify stones in neck and duct of gallbladder and by flexibly applying the basic principles and strategies of LC, one can successfully manage stones in neck snd duct of gallbladder.