Application of Syntaneous Trioscopy Combined with Bile Duct Suture Technique in Patients with Gallbladder Stones with Dilated Cholecholithiasis

Kejia LI; Ang LIU; Yanyang LI; Zhihong ZHANG; Guohui SHAO; Jiayun GE

doi:10.12259/j.issn.2095-610X.S20220707

Volume 43 Issue 7

Jul. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(7): 134-139

Kejia LI, Ang LIU, Yanyang LI, Zhihong ZHANG, Guohui SHAO, Jiayun GE. Application of Syntaneous Trioscopy Combined with Bile Duct Suture Technique in Patients with Gallbladder Stones with Dilated Cholecholithiasis[J]. Journal of Kunming Medical University, 2022, 43(7): 134-139. doi: 10.12259/j.issn.2095-610X.S20220707

Citation:

Kejia LI, Ang LIU, Yanyang LI, Zhihong ZHANG, Guohui SHAO, Jiayun GE. Application of Syntaneous Trioscopy Combined with Bile Duct Suture Technique in Patients with Gallbladder Stones with Dilated Cholecholithiasis[J]. Journal of Kunming Medical University, 2022, 43(7): 134-139. doi: 10.12259/j.issn.2095-610X.S20220707

Citation:

Kejia LI, Ang LIU, Yanyang LI, Zhihong ZHANG, Guohui SHAO, Jiayun GE. Application of Syntaneous Trioscopy Combined with Bile Duct Suture Technique in Patients with Gallbladder Stones with Dilated Cholecholithiasis[J]. Journal of Kunming Medical University, 2022, 43(7): 134-139. doi: 10.12259/j.issn.2095-610X.S20220707

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Application of Syntaneous Trioscopy Combined with Bile Duct Suture Technique in Patients with Gallbladder Stones with Dilated Cholecholithiasis

doi: 10.12259/j.issn.2095-610X.S20220707

Dept. of Hepatobiliary and Pancreatic Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2022-05-06
Available Online: 2022-07-01
Publish Date: 2022-07-14

Abstract

Abstract

Objective To explore the value of triple mirror combination technique in patients with dilated choledocholithiasis. Methods A retrospective analysis of 81 patients with dilated common bile duct stones （common bile duct diameter 0.8cm） were admitted to the Second Affiliated Hospital of Kunming Medical University from December 2019 to October 2021.Depending on the surgical method, patients were divided into three-mirror group group A （n = 40）, sequential laparoscopic cholecystectomy LC + laparoscopic-choledotoscopy combined exploration lithotomy LCBDE + endoscopic nasal bile duct drainage ENBD + primary common biliary suture PS.Double-mirror Group B （n = 41）, sequential rows of LC + LCBDE + PS. The observation indexes included preoperative indexes （stone size, total bile duct diameter）, intraoperative indexes （bleeding amount, operation time） and postoperative indexes （near-term complication rate, residual stone rate） and statistical treatment. Results Both groups of preoperative indicators, and the intraoperative indicators had no statistically significant differences. Operation time and bleeding volume were better in group B than in group A. Postoperative residual rate had no significant difference between the two groups. In terms of recent complications, the incidence of bile leakage in group A was lower than that in group B, and the long-term complications were relatively insignificant. Conclusions Application of triple oscopy combined primary suture in patients with cholangiogenic cholelithiasis can reduce the incidence of bile leakage in the first-phase bile duct suture technique, reduce the pain of patients, improve the patient compliance, and does not increase the incidence of complications and tube wearing time. It is worthy of clinical promotion and use.
- Laparoscope,
- Duodenoscopy,
- Cholangioscopy,
- Primary suture,
- Combined technique.

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