Laparoscopic assisted small incision biliary tract exploration in treatment of recurrent extrahepatic bile duct stones

Abstract

Objective To compare the clinical results between laparoscopic assisted small incision biliary duct exploration with traditional biliary exploration for patients with recurrent extrahepatic bile duct stones who had undergone biliary surgery for ≥2 times. Methods The clinical data of patients with recurrent extrahepatic bile duct stones who had undergone biliary surgery for ≥2 times, and underwent laparoscopic assisted small incision biliary duct exploration or traditional biliary exploration from September 2011 to June 2016 were retrospectively studied. Results 23 patients underwent laparoscopic assisted small incision biliary duct exploration (Group A), and 24 patients underwent traditional biliary exploration (Group B). The time spent on abdominal adhesion separation in group A and group B was (74.7±20.5) min and (90.8±20.3) min (P 0.05). Conclusions Laparoscopic assisted small incision biliary duct exploration was safe and effective for patients with recurrent extrahepatic bile duct stones who had undergone biliary surgery for ≥2 times. This operation can be used as a preferred procedure. Key words: Extrahepatic bile duct stones; Recurrence; Laparoscopy; Assisted small incision; Biliary surgery; Reoperation