[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.
Alecu
L
L
Secţia Chirurgie Generală, Spitalul Militar de Urgenţă Prof. Dr. Agrippa Ionescu, Bucureşti. lucianalecu@yahoo.com
Marin
A
A
Corodeanu
Gh
G
Gulinescu
L
L
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