Use of ureteral catheter for bile duct drainage in minimally invasive treatment of extrahepatic bile duct stones

Abstract

Objective To evaluate bile duct drainage with ureteral catheter through cystic duct in laparoscopic common bile duct exploration followed by primary duct closure (LCBDEPDC) and posto laparoscopic endoscopic stone extraction treatment of extrahepatic bile duct stones. Methods The clinical data of 116 cases of extrahepatic bile duct stones were retrospectively analyzed. Patients were divided into 2 groups: 57 patients with dilated common bile duct were in group A treated with laparoscopic common bile duct exploration followed by primary duct closure and via cystic duct ureteral catheter biliary drainage. While in group B (59 patients) with normal calibre of the common bile duct, the procedures was laparoscopic cholecystectomy+ via cystic duct ureteral catheter biliary drainage and postoperative endoscopic stone extraction. Results Procedures were successful in both the two groups. There was no postoperative pancreatitis and biliary leakage complications. The catheter was withdrawn in 6-9 d in group A postoperative hospitalization time was (8.5±2) d. The catheter was withdrawn in 2-8 d in group B after endoscopic stone extraction. Postoperative hospitalization time was (7.6±3) d. No complications occurred in both two groups relating extubation. Conclusions Bile duct drainage using the ureteral catheter via cyst duct after LCBDEPDC and endoscopic stone extraction treatment of extrahepatic bile duct stones effectively prevent postoperative pancreatitis, biliary leakage and bile duct stricture. Key words: Cholelithasis; Laparoscopes; Drainage