1. Laparoscopic exploration of intra- and extrahepatic bile ducts and T-tube drainage
- Author
-
F. J. Liu, N. H. Shou, J. Niu, S. Y. Hu, X. Y. Sun, and John F. Forbes
- Subjects
Adult ,Male ,medicine.medical_specialty ,Bile Duct Diseases ,Gallstones ,T tube drainage ,Cholangiography ,Cholelithiasis ,Medicine ,Humans ,Prospective Studies ,Extrahepatic Bile Ducts ,Prospective cohort study ,Laparoscopy ,Aged ,Aged, 80 and over ,medicine.diagnostic_test ,Common bile duct ,business.industry ,Bile duct ,General Medicine ,Middle Aged ,Surgery ,medicine.anatomical_structure ,Drainage ,Female ,business ,Hospital stay - Abstract
Laparoscopic cholecystectomy (LC) has rapidly become the procedure of choice for the management of patients with gall-bladder stones. This contrasts with patients who have common bile duct and intrahepatic duct stones who still usually need an open operation. On the basis of experience of a number of LC by one surgeon and animal experiments, we have completed laparoscopic exploration of both intra- and extrahepatic ducts and T-tube drainage of 57 patients with intra- and extrahepatic bile duct calculi over 13 months during 1992-1993 with satisfactory results. The average operating time was 150 min, with a range of 100 to 220 min. Most patients were mobile and on oral fluids within 24 h postoperative. Average hospital stay was 4 days. Retained stones were found via T-tube cholangiography in four patients (7%) and for each patient these were removed by fibre-optic choledochoscope 2 weeks postoperatively. Laparoscopic exploration of intra- and extrahepatic bile ducts is achievable by experienced surgeons and may be particularly helpful for patients who are not a good operative risk.
- Published
- 1995