CLC number: R657.4
On-line Access: 2024-08-27
Received: 2023-10-17
Revision Accepted: 2024-05-08
Crosschecked: 2019-09-12
Cited: 0
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Song-mei Lou, Min Zhang, Zheng-rong Wu, Gui-xing Jiang, Hua Shen, Yi Dai, Yue-long Liang, Li-ping Cao, Guo-ping Ding. Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage[J]. Journal of Zhejiang University Science B, 2019, 20(11): 940-944.
@article{title="Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage",
author="Song-mei Lou, Min Zhang, Zheng-rong Wu, Gui-xing Jiang, Hua Shen, Yi Dai, Yue-long Liang, Li-ping Cao, Guo-ping Ding",
journal="Journal of Zhejiang University Science B",
volume="20",
number="11",
pages="940-944",
year="2019",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1900060"
}
%0 Journal Article
%T Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage
%A Song-mei Lou
%A Min Zhang
%A Zheng-rong Wu
%A Gui-xing Jiang
%A Hua Shen
%A Yi Dai
%A Yue-long Liang
%A Li-ping Cao
%A Guo-ping Ding
%J Journal of Zhejiang University SCIENCE B
%V 20
%N 11
%P 940-944
%@ 1673-1581
%D 2019
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1900060
TY - JOUR
T1 - Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage
A1 - Song-mei Lou
A1 - Min Zhang
A1 - Zheng-rong Wu
A1 - Gui-xing Jiang
A1 - Hua Shen
A1 - Yi Dai
A1 - Yue-long Liang
A1 - Li-ping Cao
A1 - Guo-ping Ding
J0 - Journal of Zhejiang University Science B
VL - 20
IS - 11
SP - 940
EP - 944
%@ 1673-1581
Y1 - 2019
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1900060
Abstract: Common bile duct (CBD) stones are a frequent problem in Chinese populations, and their incidence is particularly high in certain areas (Wang et al., 2013). In recent years, laparoscopic common bile duct exploration (LCBDE) and endoscopic retrograde cholangiopancreatography (ERCP) have been the main surgical procedures for CBD stones, although each has different advantages and disadvantages in the treatment of choledocholithiasis (Loor et al., 2017; Zhou et al., 2017). For patients with large stones, a dilated CBD, especially concurrent gallstones, LCBDE is the preferred and most economical minimally invasive procedure (Koc et al., 2013). However, a T-tube is often placed during LCBDE to prevent postoperative bile leakage; this is associated with problems such as bile loss, electrolyte disturbance, and decreased gastric intake (Martin et al., 1998). In addition, the T-tube usually must remain in place for more than a month, during which time the patient’s quality of life is seriously compromised. Many skilled surgeons currently perform primary closure of the CBD following LCBDE, which effectively speeds up rehabilitation (Hua et al., 2015). However, even in sophisticated medical centers, the incidence of postoperative bile leakage still reaches ≥10% (Liu et al., 2017). Especially for a beginner, bile leakage remains a key problem (Kemp Bohan et al., 2017). Therefore, a safe and effective minimally invasive surgical approach to preventing bile leakage during primary closure of the CBD after LCBDE is still urgently needed.
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