Clinical analysis of laparoscopic combined with choledochoscope via the cystic duct for choledocholithiasis

Objective To explore the clinical application of laparoscopic transcystic common bile duct exploration.Methods From Jan2014 to Dec 2015, laparoscopic transcystic common bile duct exploration was performed in 52 cases of cholecystolithiasis.The therapeutic effects of cases were studied.Results Among them, 40 cases were performed operation successfully.The success rate of operation was 76.92%.7 cases were changed to laparoscopic common bile duct incision exploratory stone operation.5 cases were performed common bile duct incision nephrolithotomy, and the transfer rate was 9.62%.43 cases were toke stone success at a time in all of patients.The success removed rate was 82.69%.The last 9 patients included 8 cases performed laparoscopic transcystic common bile duct exploration and 1 case performed laparoscopic common bile duct incision exploratory stone operation.All cases were placed abdominal cavity drainage tube pulled out after 3-10 days.Biliary leakage occurred in 1 patients performed laparoscopic common bile duct incision exploratory stone operation, and it was cured after conservative treatment.No biliary tract infection, biliary tract bleeding complications occurred.The average hospitalization time was (8.24±2.52) days.All patients were followed up 1 year.No extrahepatic bile duct stones were found by B-ultrasonic and MRCP, and bilirubin were normal.Conclusion Laparoscopic transcystic common bile duct exploration has positive clinical efficacy with small trauma, quick rever, less complications, safety and effective.etc.But its indications must be grasped strictly in clinical promotion.