The clinical application of laparoscopic common bile duct exploration

Objective:To discuss the clinical effect of laparoscopic common bile duct exploration(LCBDE).Methods:The clinical data of 20 patients undergoing LCBDE from Aug.2008 to Aug.2009 were collected and analyzed retrospectively.The calculi were taken out with choledochoscopy,laparoscopic bile duct lithotomy forceps and flexible object-catching forceps during operation.Results:The LCBDE was successfully completed in 19 cases and one was converted to open surgery,and no complications were observed.The operating time ranged from 90 to 240min(mean 136min).The postoperative hospitalization was 5-10d(mean 7.2d).Follow-up observations lasted for 2 to 10 months in 18 cases and no jaundice,residual stones in the common bile duct or recurrence were observed.Conclusions:The LCBDE is safe and feasible.It is simpler and more effective to remove calculi with the choledochoscopy,laparoscopic bile duct lithotomy forceps and flexible object-catching forceps.