ANZ journal of surgery · 2017
Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones.
СтатьяНазвание и аннотация: Перевод в очереди
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Yang Jian, Zhang Fabiao, Du Xuefeng, Wang Aidong, Lv Shangdong, Fang Zheping
Аннотация
BACKGROUND: We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra- and extrahepatic bile duct stones.
METHODS: A total of 26 patients with intra- and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi-hepatic vascular occlusion was used to complete the LH. EPBD was performed under the guidance of a guidewire, and stones were removed with a stone basket or balloon.
RESULTS: A one-stage LH with EPBD lithotomy was successfully performed in 26 cases. No residual bile duct stones, intestinal or bile duct perforations were found. In addition, no severe post-operative bleeding, severe pancreatitis or mortality occurred. Post-operative hyperamylasemia was observed in five cases and bile leakage in one case. Post-operative hospital stays lasted 7-11 days.
CONCLUSION: LH combined with EPBD applied to intra- and extrahepatic bile duct stones was feasible, effective and safe, resulting in rapid recovery and few post-operative complications.
METHODS: A total of 26 patients with intra- and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi-hepatic vascular occlusion was used to complete the LH. EPBD was performed under the guidance of a guidewire, and stones were removed with a stone basket or balloon.
RESULTS: A one-stage LH with EPBD lithotomy was successfully performed in 26 cases. No residual bile duct stones, intestinal or bile duct perforations were found. In addition, no severe post-operative bleeding, severe pancreatitis or mortality occurred. Post-operative hyperamylasemia was observed in five cases and bile leakage in one case. Post-operative hospital stays lasted 7-11 days.
CONCLUSION: LH combined with EPBD applied to intra- and extrahepatic bile duct stones was feasible, effective and safe, resulting in rapid recovery and few post-operative complications.
Предметные рубрики MeSH
AdultBile Ducts, ExtrahepaticBile Ducts, IntrahepaticCholangiopancreatography, Endoscopic RetrogradeCohort StudiesCombined Modality TherapyDilatationFemaleFollow-Up StudiesGallstonesHepatectomyHumansLaparoscopyLength of StayMagnetic Resonance ImagingMaleMiddle AgedOperative TimePatient SafetyProspective StudiesRisk AssessmentTreatment Outcome