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Current status and progress of laparoscopic common bile duct exploration in the treatment of choledocholithiasis
Tingbo Liang, Xueli Bai, Wei Chen
Published 2018-01-20
Cite as Chin J Dig Surg, 2018, 17(1): 22-25. DOI: 10.3760/cma.j.issn.1673-9752.2018.01.006
Abstract
Most of choledocholithiasis is secondary to gallbladder stone, and surgery remains the main treatment mode. In recent years, with the continuous improvement of minimally invasive techniques, the treatment of choledocholithiasis has changed from the traditional open surgery to laparoscopic common bile duct exploration (LCBDE). LCBDE has been widely carried out based on the advantages of small damage, rapid postoperative recovery and few complications. Two methods of LCBDE include through cystic duct and through common bile duct, although through cystic duct LCBDE has smaller damage, application range is narrow. Compared with T-tube drainage, primary suture of common bile duct after LCBDE has less effects on the body and is being promoted gradually. The application of barbed stitches in laparoscopic common bile duct suture has attracted increasing attention. This article reviews the current status and progress of LCBDE in the treatment of choledocholithiasis.
Key words:
Cholelithiasis; Choledocholithiasis; Common bile duct exploration; Laparoscopy; Progress
Contributor Information
Tingbo Liang
Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine
Zhejiang Provincial Key Laboratory of Pancreatic Disease, Hangzhou 310009, China
Xueli Bai
Wei Chen
