Laparoscopic transcystic duct balloon dilatation of the sphincter of Oddi.
Balloon dilatation of the sphincter of Oddi has been performed via a laparoscopic transcystic duct technique. Small common duct stones and stone debris have been successfully lavaged into the duodenum in 17 of 20 cases (85%) by this method. Postoperative hyperamylasemia was noted in four patients. Mild clinical pancreatitis was observed in three patients (15%). Further evaluation of this technique as an adjunct to laparoscopic common bile duct stone extraction is warranted.
Carroll
B J
BJ
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048.
Phillips
E H
EH
Chandra
M
M
Fallas
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000379:methods*; D002648:Child; D042882:Gallstones / Q000628:therapy*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009803:Sphincter of Oddi; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome