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CLC number: TU311.3, TU973

On-line Access: 2024-08-27

Received: 2023-10-17

Revision Accepted: 2024-05-08

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Journal of Zhejiang University SCIENCE A 2000 Vol.1 No.4 P.456-458

http://doi.org/10.1631/jzus.2000.0456


INTRAOPERATIVE ERCP AND ENDOSCOPIC SPHINCTEROTOMY COMBINED WITH LAPAROSCOPIC CHOLECYSTECTOMY FOR TREA-TMENT OF CHOLELITHIASIS WITH CHOLEDOCHOLITHIASIS


Author(s):  GAO Min, ZHOU Wen, SHI Jian-ming, HONG De-fei, MU Yi-ping, WANG Jian-guo, WANG Yao-dong

Affiliation(s):  Sir Run Run Shaw affiliated Hospital of Zhejiang University, Hangzhou 310016, China

Corresponding email(s): 

Key Words:  choledocholithiasis, EST, LC, ERCP


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Abstract: 
Objective: To evaluate the benefit of intraoperative ERCP and endoscopic sphincterotomy (EST) combined with laparoscopic cholecystectomy (LC) in the treatment of cholelithiasis with choledocholithiasis. Methods: Fifty-two patients with cholelithiasis and choledocholithiasis(as determined by intraoperative cholangiography) were randomly divided into 2 groups during LC. In group A (27 patients), common bile duct stones were extracted by intraoperative EST during LC .In group B(25 patients), common bile duct (CBD) stones were extracted by conversion to open CBD exploration and cholecyctectomy. Results: The success rate was 26/27 (96.3%) in group A and 25/25 (100%) in group B (0.25LCer occurred after conversion to open cholecystectomy with CBD exploration. There were no retained stones in group A but 2 cases in group B. Conclusion: Intraoperative ERCP and endoscopic sphincterotomy combined with LC for treatment of cholelithiasis and chiledocholithiasis is safe, effective and results in shorter hospitalization and fewer complications than traditional open cholecystectomy with CBD exploration.

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hoang@tran<tvhoangmp87@gmail.com>

2012-03-28 18:04:14

very good

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