中文｜English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 39 Issue 9
Sep.  2023
Turn off MathJax
Article Contents
Article Navigation >  Journal of Clinical Hepatology  > 2023  >  39(9): 2179-2184

T－tube flexible ureteroscopy in treatment of residual choledocholithiasis： A case report

DOI: 10.3969/j.issn.1001-5256.2023.09.022
  • 1.

    Department of General Surgery，The Second People’s Hospital of Guizhou Province，Guiyang 550000，China

  • 2.

    Department of Pancreatic Surgery，Qilu Hospital of Shandong University，Jinan 250000，China

  • 3.

    Department of Hepatobiliary Surgery，Huishui County People’s Hospital，Qiannan Buyi and Miao Autonomous Prefecture，Guizhou 550600，China

Research funding:

National Natural Science Foundation of China (81900731)

More Information
  • Corresponding author: CAO Gang， 13984862480@163.com （ORCID： 0000－0002－8631－3336）
  • Received Date: 2022-11-08
  • Accepted Date: 2022-12-26
  • Published Date: 2023-09-19
    Abstract
  • At present， endoscopic retrograde cholangiopancreatography （ERCP） and T－tube sinus tract lithotomy are the main treatment methods for residual choledocholithiasis after surgery. However， these treatment methods have certain drawbacks； for example， ERCP may cause complications such as postoperative pancreatitis， bleeding， and perforation， and T－tube sinus tract lithotomy may cause sinus tract injury and bleeding. As a commonly used instrument in urology， flexible ureteroscope has the characteristics of small diameter and flexible angle and thus has a good prospect in the treatment of common bile duct stones. A patient with common bile duct stones was successfully treated by flexible ureteroscopy combined with a stone basket in Department of General Surgery， The Second People’s Hospital of Guizhou Province. Up to now， the patient has been followed up for seven months with no special discomfort， and magnetic resonance cholangiopancreatography showed no common bile duct stones.

     

    • FullText(HTML)
  • loading
    • References(31)
  • [1]
    WU Y, XU CJ, XU SF. Advances in risk factors for recurrence of common bile duct stones[J]. Int J Med Sci, 2021, 18( 4): 1067－ 1074. DOI: 10.7150/ijms.52974.
    [2]
    WILLIAMS E, BECKINGHAM I, SAYED G EL, et al. Updated guideline on the management of common bile duct stones(CBDS)[J]. Gut, 2017, 66( 5): 765－ 782. DOI: 10.1136/gutjnl－2016－312317.
    [3]
    HUANG Y, YI JF, ZHOU WC. Research progress on postoperative recurrence factors of choledocholithiasis[J]. Chin J Gen Surg, 2021, 30( 8): 964－ 970. DOI: 10.7659/j.issn.1005－6947.2021.08.012.

    黄瑶, 易剑锋, 周文策. 胆总管结石治疗后复发因素的研究进展[J]. 中国普通外科杂志, 2021, 30( 8): 964－ 970. DOI: 10.7659/j.issn.1005－6947.2021.08.012.
    [4]
    MO AL, WANG SG, CHEN WQ. Effect analysis of minimally invasive operation in the treatment of cholecystolithiasis complicated with choledocholithiasis[J]. J Laparosc Surg, 2022, 27( 2): 130－ 134. DOI: 10.13499/j.cnki.fqjwkzz.2022.02.130.

    莫阿里, 王三贵, 陈伟强. 微创手术治疗胆囊结石合并胆总管结石的效果分析[J]. 腹腔镜外科杂志, 2022, 27( 2): 130－ 134. DOI: 10.13499/j.cnki.fqjwkzz.2022.02.130.
    [5]
    TRINGALI A, COSTA D, FUGAZZA A, et al. Endoscopic management of difficult common bile duct stones: Where are we now? A comprehensive review[J]. World J Gastroenterol, 2021, 27( 44): 7597－ 7611. DOI: 10.3748/wjg.v27.i44.7597.
    [6]
    FENG YP, GAO Y, XIN L, et al. Advances in endoscopic therapy for difficult common bile duct stones[J]. J Clin Hepatol, 2021, 37( 1): 229－ 232. DOI: 10.3969/j.issn.1001－5256.2021.01.051.

    冯拥璞, 高野, 辛磊, 等. 困难胆总管结石的内镜治疗进展[J]. 临床肝胆病杂志, 2021, 37( 1): 229－ 232. DOI: 10.3969/j.issn.1001－5256.2021.01.051.
    [7]
    KONSTANTAKIS C, TRIANTOS C, THEOPISTOS V, et al. Recurrence of choledocholithiasis following endoscopic bile duct clearance: Long term results and factors associated with recurrent bile duct stones[J]. World J Gastrointest Endosc, 2017, 9( 1): 26－ 33. DOI: 10.4253/wjge.v9.i1.26.
    [8]
    XIA HT, XIN XL, YANG T, et al. Surgical strategy for recurrent common bile duct stones: A 10－year experience of a single center[J]. Updates Surg, 2021, 73( 4): 1399－ 1406. DOI: 10.1007/s13304－020－00882－8.
    [9]
    XU W, WANG ZF, WANG HP, et al. Risk factors for common bile duct calculi recurrence and application value of its prediction model after endoscopic retrograde cholangiopancreatography[J]. Chin J Dig Surg, 2021, 20( 8): 890－ 897. DOI: 10.3760/cma.j.cn115610－20210720－00356.

    徐雯, 王正峰, 王海平, 等. 经内镜逆行胰胆管造影术后胆总管结石复发危险因素分析及其预测模型的应用价值[J]. 中华消化外科杂志, 2021, 20( 8): 890－ 897. DOI: 10.3760/cma.j.cn115610－20210720－00356.
    [10]
    Branch of Biliary Surgery, Chinese Society of Surgery, Chinese Medical Association; Chinese Committee of Biliary Surgeons. Expert consensus on clinical application of choledochoscope(2018 edition)[J]. Chin J Pract Surg, 2018, 38( 1): 21－ 24. DOI: 10.19538/j.cjps.issn1005－2208.2018.01.02.

    中华医学会外科学分会胆道外科学组, 中国医师协会外科医师分会胆道外科医师委员会. 胆道镜临床应用专家共识(2018版)[J]. 中国实用外科杂志, 2018, 38( 1): 21－ 24. DOI: 10.19538/j.cjps.issn1005－2208.2018.01.02.
    [11]
    CIANCI P, RESTINI E. Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches[J]. World J Gastroenterol, 2021, 27( 28): 4536－ 4554. DOI: 10.3748/wjg.v27.i28.4536.
    [12]
    ZHANG W, YI HM, ZHANG J, et al. Ultrasound－guided choledochoscopy via T－tube sinus in treatment of complex intrahepatic bile duct stones[J/OL]. Chin J Hepatic Surg Electron Ed, 2021, 10( 4): 394－ 397. DOI: 10.3877/cma.j.issn.2095－3232.2021.04.012.

    张伟, 易惠明, 张剑, 等. 超声引导下经 T 管窦道胆道镜取石治疗复杂型肝内胆管结石[J/OL]. 中华肝脏外科手术学电子杂志, 2021, 10( 4): 394－ 397. DOI: 10.3877/cma.j.issn.2095－3232.2021.04.012.
    [13]
    ERCP Group, Digestive Endoscopy Branch, Chinese Medical Association, Biliary Pancreatology Group, Digestive Doctor Branch, Chinese Medical Association, National Digestive System Diseases Clinical Medical Research Center. China ERCP guide(2018 edition)[J]. Chin J Dig Endosc, 2018, 35( 11): 777－ 813. DOI: 10.3760/cma.j.issn.1007－5232.2018.11.001.

    中华医学会消化内镜学分会ERCP学组, 中国医师协会消化医师分会胆胰学组, 国家消化系统疾病临床医学研究中心. 中国ERCP指南(2018版)[J]. 中华消化内镜杂志, 2018, 35( 11): 777－ 813. DOI: 10.3760/cma.j.issn.1007－5232.2018.11.001.
    [14]
    PARK CH. The management of common bile duct stones[J]. Korean J Gastroenterol, 2018, 71( 5): 260－ 263. DOI: 10.4166/kjg.2018.71.5.260.
    [15]
    Standards of Practice Committee ASGE, CHANDRASEKHARA V, KHASHAB MA, et al. Adverse events associated with ERCP[J]. Gastrointest Endosc, 2017, 85( 1): 32－ 47. DOI: 10.1016/j.gie.2016.06.051.
    [16]
    STAPFER M, SELBY RR, STAIN SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy[J]. Ann Surg, 2000, 232( 2): 191－ 198. DOI: 10.1097/00000658－200008000－00007.
    [17]
    LEE T, TENG TZJ, SHELAT VG. Choledochoscopy: An update[J]. World J Gastrointest Endosc, 2021, 13( 12): 571－ 592. DOI: 10.4253/wjge.v13.i12.571.
    [18]
    MO ZK, FANG CH, XIANG N, et al. Strategies for preventing the complications of three－dimensional laparoscope combined with rigid choledochoscope lithotripsy guided by three－dimensional visualization technology[J]. Chin J Pract Surg, 2017, 37( 3): 284－ 287. DOI: 10.19538/j.cjps.issn1005－2208.2017.03.18.

    莫志康, 方驰华, 项楠, 等. 三维可视化辅助3D腹腔镜、胆道硬镜肝胆管结石靶向碎石术并发症防治研究[J]. 中国实用外科杂志, 2017, 37( 3): 284－ 287. DOI: 10.19538/j.cjps.issn1005－2208.2017.03.18.
    [19]
    TÜRK C, PETŘÍK A, NEISIUS A. Ureteral stones: Shockwave lithotripsy or ureteroscopy, which is best?[J]. Eur Urol, 2021, 80( 1): 55－ 56. DOI: 10.1016/j.eururo.2021.03.029.
    [20]
    VARBAN O, ASSIMOS D, PASSMAN C, et al. Video. Laparoscopic common bile duct exploration and holmium laser lithotripsy: A novel approach to the management of common bile duct stones[J]. Surg Endosc, 2010, 24( 7): 1759－ 1764. DOI: 10.1007/s00464－009－0837－0.
    [21]
    YAO BH, LI CY. Clinical research progress of ureteroscopy and its treatment of urolithiasis[J]. Prev Med Tribune, 2021, 16( 2): 255－ 259. DOI: 10.11864/j.issn.1673.2021.02.27.

    姚碧海, 黎承杨. 输尿管软镜技术及其治疗尿石症的临床研究进展[J]. 微创医学, 2021, 16( 2): 255－ 259. DOI: 10.11864/j.issn.1673.2021.02.27.
    [22]
    DOIZI S, TRAXER O. Flexible ureteroscopy: Technique, tips and tricks[J]. Urolithiasis, 2018, 46( 1): 47－ 58. DOI: 10.1007/s00240－017－1030－x.
    [23]
    MIAO QS, WANG P, WANG L, et al. Application of electronic ureteroscopy in the operation of intrahepatic bile duct stones[J]. J Laparosc Surg, 2014, 19( 3): 171, 181. DOI: 10.13499/j.cnki.fqjwkzz.2014.03.171.

    苗庆松, 王朋, 王磊, 等. 电子输尿管软镜在肝内胆管结石手术中的应用[J]. 腹腔镜外科杂志, 2014, 19( 3): 171, 181. DOI: 10.13499/j.cnki.fqjwkzz.2014.03.171.
    [24]
    HEALY K, CHAMSUDDIN A, SPIVEY J, et al. Percutaneous endoscopic holmium laser lithotripsy for management of complicated biliary calculi[J]. JSLS, 2009, 13( 2): 184－ 189.
    [25]
    PONSKY LE, GEISINGER MA, PONSKY JL, et al. Contemporary“urologic” intervention in the pancreaticobiliary tree[J]. Urology, 2001, 57( 1): 21－ 25. DOI: 10.1016/S0090－4295(00)00888－8.
    [26]
    LI XY. Transcystic common bile duct exploration under laparoscope and soft ureteroscope: 35 cases report[J]. Chin J Mod Oper Surg, 2016, 20( 2): 84－ 86. DOI: 10.16260/j.cnki.1009－2188.2016.02.002.

    李学元. 腹腔镜联合输尿管软镜经胆囊管行胆总管探查术(附35例报告)[J]. 中国现代手术学杂志, 2016, 20( 2): 84－ 86. DOI: 10.16260/j.cnki.1009－2188.2016.02.002.
    [27]
    YAN YK, ZHAO SH, LIU JD, et al. The application in the treatment of intrahepatic lithiasis by laparoscopy with choledochoscope and holmium laser[J/CD]. Chin J Laparosc Surg Electron Ed, 2010, 3( 3): 272－ 274. DOI: 10.3969/cma.j.issn.1674－6899.2010.03.017.

    阎玉矿, 赵守和, 刘继东, 等. 腹腔镜下胆道镜联合钬激光碎石治疗肝内胆管结石[J/CD]. 中华腔镜外科杂志(电子版), 2010, 3( 3): 272－ 274. DOI: 10.3969/cma.j.issn.1674－6899.2010.03.017.
    [28]
    SARDIWALLA II, KOTO MZ, KUMAR N, et al. Laparoscopic common bile duct exploration use of a rigid ureteroscope: A single institute experience[J]. J Laparoendosc Adv Surg Tech A, 2018, 28( 10): 1169－ 1173. DOI: 10.1089/lap.2018.0042.
    [29]
    LOFFELD RJLF, PAULUS J, LANGBEIN S, et al. Removal of common bile ducts stones via percutaneous access with a flexible ureteroscope and laser assistance[J]. Case Rep Gastrointest Med, 2019, 2019: 4684631. DOI: 10.1155/2019/4684631.
    [30]
    YANG XP, CHEN JC, ZHOU DP, et al. Clinical observatioin of laparoscopic choledochotomy combined with ureteroscopic hard ureterolithotomy T－tube drainage and conventional surgery[J]. Mod Hosp, 2019, 19( 5): 738－ 740. DOI: 10.3969/j.issn.1671－332X.2019.05.033.

    杨小平, 陈剑川, 周冬平, 等. 腹腔镜胆总管切开联合输尿管硬镜取石T管引流术治疗胆总管结石的临床观察[J]. 现代医院, 2019, 19( 5): 738－ 740. DOI: 10.3969/j.issn.1671－332X.2019.05.033.
    [31]
    QIAN ZF. The clinical effect of the treatment of intrahepatic residual biliary calculi with holmium laser through T－tube sinus under sheath protection[J]. Med Forum, 2022, 26( 1): 4－ 6. DOI: 10.19435/j.1672－1721.2022.01.002.

    钱志峰. 鞘管保护下经T管窦道采用硬镜联合钬激光治疗肝内外胆管残余结石的临床效果观察[J]. 基层医学论坛, 2022, 26( 1): 4－ 6. DOI: 10.19435/j.1672－1721.2022.01.002.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (350) PDF downloads(49) Cited by()
    Proportional views
    Related
        

    The first journal specializing in hepatobiliary and pancreatic diseases in China

    Supervisor：Ministry of Education of the People's Republic of China

    Sponsor：Jilin University

    Academic Support: Chinese Society of Hepatology，Chinese Medical Association

    Address: 461 Xinjiang Road, Changchun

    Submit：0431-88782044

    Peer review：0431-88783542

    Email：lcgdb@vip.163.com

    About Journal

    Submission Guideline

    Journal Online

    Hepatobiliary College

    Guidelines

    YesterdayIP[]YesterdayPV[]TodayIP[]TodayPV[]Online[]

    Website Design © 2020 Editorial Board of Journal of Clinical Hepatology 吉ICP备10000617号-1 Supported by: Beijing Renhe Information Technology Co. Ltd  

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return