Micro-incision of cystic duct and its junction in laparoscopic common bile duct exploration for choledocholithiasis

Abstract

Objective To analyze our experience in laparoscopic common bile duct (CBD) exploration using a 5 mm choledochoscope through a micro-incision at the junction between the cystic duct and the CBD for patients with choledocholithiasis and cholecystolithiasis. Methods From January 2014 to May 2018, laparoscopic common bile duct exploration through a micro-incision at the cystic duct-CBD junction was performed in 77 patients with choledocholithiasis and cholecystolithiasis at Beijing Tongren Hospital, Capital Medical University. Results Laparoscopic common bile duct exploration was performed successfully through a micro-incision in 77 patients with primary suturing of the micro-incision. The range of operation time, blood loss, and hospital stay were 65~150 min, 10~50 ml, and 4~9 d respectively. Seven patients developed minor bile leakage postoperatively and were treated successfully after 3~7 days of conservative treatment. Conclusion Common bile duct laparoscopic exploration using a choledochoscope for choledocholithiasis and cholecystolithiasis through a micro-incision at the junction of cystic duct and CBD was a safe and effective method. Key words: Cholecystolithiasis; Choledocholithiasis; Choledochoscope; Laparoscopes; Common bile duct exploration