Ultrathin choledochoscope improves outcomes in the treatment of gallstones and suspected choledocholithiasis

作者：Xia, Hong-Tian^*; Liang, Bin; Liu, Yang; Yang, Tao; Zeng, Jian-Ping; Dong, Jia-Hong

来源：Expert Review of Gastroenterology and Hepatology, 2016, 10(12): 1409-1413.

DOI：10.1080/17474124.2016.1250623

• Choledocholithiasis
• laparoscopic cholecystectomy
• laparoscopic transcystic common bile duct exploration
• ultrathin choledochoscope

Background: We aimed to compare laparoscopic cholecystectomy (LC) and simultaneous laparoscopic transcystic common bile duct exploration (LTCBDE) using an ultrathin choledochoscope with LC followed by endoscopic retrograde cholangiopancreatography (ERC) and endoscopic sphincterotomy (ES) when indicated.Methods: We retrospectively reviewed the records of patients seen between 2004 and 2014 and treated with LC+LTCBDE or LC for gallstones and suspected choledocholithiasis. Postoperative complications and surgical outcomes were compared using t-test, Mann-Whitney U test, or chi-square test.Results: 115 patients underwent successful LC+LTCBDE and 112 LC; follow-up data was available for 103 and 106 patients, respectively. Seventeen patients (16.5%) in the LC+LTCBDE group and 10 (28.6%) in the LC+ERC+ES group developed complications (P=0.114). The LC+LTCBDE group had a significantly higher rate of satisfactory biliary function outcomes than the LC+ERC+ES group (98.1% vs. 85.7%, respectively) (P=0.017).Conclusions: Single-step LC+LTCBDE using an ultrathin choledochoscope may provide better outcomes in patients with gallstones and suspected choledocholithiasis.

• 出版日期2016-12
• 单位中国人民解放军总医院