[Laparoscopic choledochoscopy]. / Coledocoscopia laparoscopica.

ABSTRACT

AIM: Of this study was to evaluate the treatment of common bile duct stones (CBDS) by laparoscopic choledochoscopy. MATERIAL AND METHOD: Between 1997-2002, 9 patients (with age between 42-75 years) were treated laparoscopic for CBDS 8 cases with choledocholithiasis; 1 case with pancreatic neoplasm. Laparoscopic choledochoscopy was performed in 7 cases (84.4%). We used the choledochoscope Pentax of 5 mm diameter and with work canal. RESULTS: We performed the CBD exploration with transcystic approach-1 case; choledochotomy-6 cases. The CBD diameter was between 1.2-1.5 cm. The bile duct stones diameter were between 0.5-1.5 cm. We performed with successfully the laparoscopic choledochoscopy exploration and extraction of CBD stones to all patients. External biliary drainage (transcystic duct and with Kehr-tube) were done systematically. The major complication (choleperitoneum) occurred in 2 cases (28.5%). The occurrence of residual ductal stones was 0. CONCLUSION: The laparoscopic treatment of choledocholithiasis is feasible, safe and efficient.