Clinical efficacy of sequentially used duodenal endoscope electronic choled ochoscope and laparoscope in treatment of choledocholithiasis with gallbladder stones:  report of 834 cases

Objective To investigate the clinical efficacy of sequentially used duodenal endoscope electronic choled ochoscope and laparoscope in the treatment of choledocholithiasis with gallbladder stones. Methods A retrospective analysis was performed on 834 patients with choledocholithiasis and gallbladder stones who received treatment with sequentially used duodenoscope, laparoscope, and electronic choledochoscope in our hospital from June 1999 to June 2010. Results The 834 cases received treatment with two endoscopes, and 793 ( 95. 08%) had the stones successfully removed. The other 41 cases received secondary treatment with three endoscopes, and 39 ( 95. 12%) of them had the stones successfully removed. The two failed cases had severe adhesion at the porta hepatis and lesser omental foramen, which made bile duct exploration impossible, and were then treated by laparotomy. Complications were seen in 28 of the 834 cases. Conclusions Treatment with sequentially used endoscopes is feasible and safe and causes few complications in patients with choledocholithiasis and gallbladder stones, and it holds promise for clinical application.