[Laparoscopic choledochoscopy].
OBJECTIVE
Of this study was to evaluate the treatment of common bile duct stones (CBDS) by laparoscopic choledochoscopy.


METHODS
Between 1997-2002, 9 patients (with age between 42-75 years) were treated laparoscopic for CBDS: 8 cases with choledocholithiasis; 1 case with pancreatic neoplasm. Laparoscopic choledochoscopy was performed in 7 cases (84.4%). We used the choledochoscope Pentax of 5 mm diameter and with work canal.


RESULTS
We performed the CBD exploration with: transcystic approach-1 case; choledochotomy-6 cases. The CBD diameter was between 1.2-1.5 cm. The bile duct stones diameter were between 0.5-1.5 cm. We performed with successfully the laparoscopic choledochoscopy exploration and extraction of CBD stones to all patients. External biliary drainage (transcystic duct and with Kehr-tube) were done systematically. The major complication (choleperitoneum) occurred in 2 cases (28.5%). The occurrence of residual ductal stones was 0.


CONCLUSIONS
The laparoscopic treatment of choledocholithiasis is feasible, safe and efficient.
Secţia Chirurgie Generală, Spitalul Militar de Urgenţă Prof. Dr. Agrippa Ionescu, Bucureşti. lucianalecu@yahoo.com
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L
Alecu
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Marin
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Corodeanu
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Gulinescu
D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D042883:Choledocholithiasis / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005240:Feasibility Studies; D006801:Humans; D020706:Laparoscopes; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome