ObjectiveTo evaluate the effect and safety of suture needle puncture and discission of bile duct in laparoscopic common duct exploration(LCDE).
MethodsThe clinical data of 75 cases who underwent LCDE with suture needle puncture and discission of bile duct in our department during the past 2 years were analyzed retrospectively.
ResultsLCDE was successfully performed in all the 75 cases. No patient had complications, such as injury to adjacent organs, bile leakage or postoperative bleeding,and there were no death. Two cases were converted to open surgery because of internal duodenal and common bile duct fistula in one case, and in another, because of cast-like stone impaction that could not be removed by choledoscope.There was no bile duct stenosis during follow-up of 4 months to 2 years.
ConclusionsThe technique of suture needle puncture and discission of bile duct is a simple,effective and safe method for laparoscopic common duct exploration.