[Laparoscopic choledochoscopy]. / Coledocoscopia laparoscopica.
Chirurgia (Bucur)
; 98(2): 175-82, 2003.
Article
em Ro
| MEDLINE
| ID: mdl-14992140
ABSTRACT
AIM:
Of this study was to evaluate the treatment of common bile duct stones (CBDS) by laparoscopic choledochoscopy. MATERIAL ANDMETHOD:
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.
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Base de dados:
MEDLINE
Assunto principal:
Colecistectomia Laparoscópica
/
Coledocolitíase
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Humans
/
Middle aged
Idioma:
Ro
Ano de publicação:
2003
Tipo de documento:
Article