Laparoscopic choledochoscopy in patients of common bile duct stones with history of previous abdominal surgery

Abstract

Objective To evaluate the feasibility and safety of laparoscopic choledochoscopy for common bile duct exploration in patients of common bile duct stones with a history of previous abdominal surgery. Methods From March 2015 to May 2016, 100 cases were divided into laparoscopic and open common bile duct exploration in our department. Hospital stay, costs and complications were compared. Results The blood loss, cost, fasting time and hospital stay in the laparoscopy group were less than those in the open group. There were no significant differences in alanine aminotransferase, total bilirubin, albumin, prothrombin time, leukocyte, C-reactive protein, operative time and complications between the two groups. Conclusion Laparoscopic choledochoscopy for common bile duct exploration is an effective and safe method for the treatment of common bile duct stones in patients with previous history of abdominal surgery. Key words: Choledocholithiasis; Reoperation; Laparoscopes