[Clinical evaluation of laparoscopic common bile duct exploration in 587 cases].
OBJECTIVE
To summarize the experience of laparoscopic common bile duct exploration.


METHODS
The clinical data of 587 cases who underwent laparoscopic common bile duct exploration from June 1992 to May 2006 were analyzed.


RESULTS
The surgery was successful in 585 cases (99.7%), 2 cases were converted to open common bile duct exploration. The duration of operation was 60 approximately 230 min (averaged 85 min), the complications consisted of biliary fistula (n=13), injury of the duodenum (n=1), abscess of drainage tube orifice (n=1), titanium clip discharging out from T tube (n=3), residual common bile duct stones (n=35). The patients could take food and walk on the second postoperative day and average postoperative hospital stay was 4.6 days.


CONCLUSIONS
Laparoscopic common bile duct exploration is a safe and effective procedure in treating the calculus of bile duct.
Liu
Chong-zhong
CZ
Department of General Surgery, Qilu Hospital, Shandong University, Jinan 250012, China.
Hu
San-yuan
SY
Wang
Lei
L
Zhang
Guang-yong
GY
Chen
Bo
B
Zhang
Hai-feng
HF
Wang
Ke-xin
KX
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000379:methods; D003135:Common Bile Duct / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D016896:Treatment Outcome