MANAGEMENT OF COMMON BILE DUCT CALCULI WITH LAPAROSCOPIC CHOLEDOCHOTOMY， COMMON BILE DUCT EXPLORATION AND PLACEMENT OF T TUBE_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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Department of General Surgery, Sir Li Huili Hospital of Ningbo Medical Center, Ningbo 315040;

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Keywords：

Laparoscopic common bile duct exploration Common bile duct calculi Choledochoscope

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Objective To study the effect of laparoscopic common bile duct exploration via choledochotomy and T tube drainage.
Metheods Laparoscopic exploration of common bile duct with choledochoscopy via choledochotomy was performed in 105 patients, T tube was placed in all patients with laparoscopic suturing technique.
Results Except negative exploration in 2 cases, duct clearance was achieved in 99 per cent (102/103) of patients.
Conclusion Laparoscopic exploratoin of common bile duct via choledochotomy and T tube drainage is one of the safe and effective management options for common bile duct calculi.

Citation： LI Gencong,LI Hong,WAN Shize. et al.. MANAGEMENT OF COMMON BILE DUCT CALCULI WITH LAPAROSCOPIC CHOLEDOCHOTOMY， COMMON BILE DUCT EXPLORATION AND PLACEMENT OF T TUBE. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(3): 179-181. doi: Copy

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8.	蔡珍福，王坚.纤维胆道镜胆总管探查后不放置T管的体会〔J〕.中华普通外科杂志，1999； 14(5)∶393.
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1. Spaw AT, Reddick EJ, Olsen DO. Laparoscopic laser cholecystectomy:analysis of 500 procedures 〔J〕. Surg Laparosc Endosc, 1991； 1(1)∶2.
2. Ponsky JL. Endoscopic management of common bile duct stones 〔J〕. World J Surg, 1992； 16(9)∶1062.
3. Cotton PB. Endoscopic management of bile duct stones 〔J〕. Gut, 1984； 25(2)∶587.
4. Petelin JB. Laparoscopic approach to common duct pathology 〔J〕. Am J Surg, 1993； 165(3)∶487.
5. Rhodes M, Nathanson L, O’rourke N, et al. Laparoscopic exploration of the common bile duct: lessons learned from 129 consecutive cases 〔J〕. Brit J Surg, 1995； 82(6)∶666.
6. 陈训如主编.腹腔镜手术的并发症与对策〔M〕.昆明：云南科技出版社，1997∶162~168.
7. Croce E, Golia M, Azzola M, et al. Laparoscopic choledochotomy with primary closure: followup(5-44) of 31 patients 〔J〕. Surg Endosc, 1996； 10(8)∶1064.
8. 蔡珍福，王坚.纤维胆道镜胆总管探查后不放置T管的体会〔J〕.中华普通外科杂志，1999； 14(5)∶393.
9. Khoo DE, Walsh CJ, Cox MR, et al. Laparoscopic common bile duct exploration: evolution of a new technique 〔J〕. Br J Surg, 1996； 83(3)∶34.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

MANAGEMENT OF COMMON BILE DUCT CALCULI WITH LAPAROSCOPIC CHOLEDOCHOTOMY， COMMON BILE DUCT EXPLORATION AND PLACEMENT OF T TUBE

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