Abstract
Objective To study how to manage laparoscopic common bile duct (CBD) exploration.Methods Laparoscopy was performed on 48 patients with CBD stones and 2 with biliary ascariasis. An in- cision from which fiberoptic endoscopy could be inserted to the biliary duct was made in the anterior wall of the CBD. The stone and ascariases were removed by the forceps or basket. Results The span of operation timewas 117.2 (45～180) min. The average length of postoperative stay were 6. 8 (3～12) days. 1～11 calculi(0. 6～2. 9 cm) in 48 cases and 1～2 ascariases in two case were taken out. 4 cases had a retained stone. 2cases had converted operation. The 20 cases of CBD were primary sutured after removing stones or ascariases.There were no death record. One patient who received biliary tract operation 20 years ago was converted into open hemostasis. One case with one-layer-suture had mild biliary fistula and was cured by means of con-servative treatment. Conclusion Our experiences revealed that laparoscopic common bile duct exploration issafe and efficient. It has been shown that primary suture of CBD in some patients is safe with advantage of shortpostoperative stay, mild pain and rapid recovery, and the two layer's suture of CBD can avoid the developmentof biliary fistula.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
