Concurrent percutaneous transhepatic papillary balloon dilatation combined with laparoscopic cholecystectomy for gallstones and common bile duct stones

Abstract

Objective To evaluate the clinical effectiveness and safety of percutaneous transhepatic papillary balloon dilatation (PTBD) combined with laparoscopic cholecystectomy (LC) for concurrent gallstones and common bile duct stones. Methods From Sep 2010 to Dec 2016, 23 patients undergoing PTBD+ LC were retrospectively compared with 34 cases recieving laparascopic common bile duct exploration (LCBDE)+ LC. Parameters included surgical success rate, postoperative complications, residual stone rate, operation time, postoperative anal exhaust time, postoperative hospital stay, and hospitalization expenses. Results In this study 23 patients received PTBD+ LC, 34 patients received LCBDE+ LC. In PTBD+ LC group: the operation success rate was 91.3%, postoperative complications (2 cases of pancreatitis, 3 cases of pulmonary infection, 1 case of incisional infection), and the postoperative residual stone rate was 4.3%. In LCBDE+ LC group: surgery success rate was 88.2%, postoperative complications (bile leakage 2 cases, lung infection 2 cases, incisional infection 1 case), postoperative residual stone found in 2.9%; The success rate, postoperative complications and postoperative residual stone rate between the two groups were not statistically different (P>0.05), nor in operation time, postoperative anal exhaust time, and hospitalization cost (P>0. 05). PTBD+ LC group had shorter hospital stay (P<0.05). Conclusions PTBD combined with LC is effective and safe procedure for the treatment of gallstones and bile duct stones. Key words: Choledocholithiasis; Cholecystolithiasis; Percutaneous hepatic balloon dilation