Spontaneously removed endobiliary J stent drainage after laparoscopic common bile duct exploration.
BACKGROUND
Given the limitations and risks associated with current treatments for common bile duct (CBD) stones, the authors placed a spontaneously removed endobiliary J stent in the distal CBD to decompress the biliary tract and performed a primary closure of the CBD after laparoscopic common bile duct exploration (LCBDE).


METHODS
In this study, 10 of 14 patients with a diagnosis of choledocholithiasis were successfully treated using LCBDE. After extraction of the CBD stones using a choledoscope, a J-shaped stent was placed into the distal CBD as an internal drainage. The J stent was fixed with a rapid absorbable suture at the choledochotomy, which was closed by primary suture.


RESULTS
The procedures for all 10 patients were successfully completed. No complications related to placement of the endobiliary J stents were observed postoperatively. None of the patients reported discomfort, and the J stents passed spontaneously 2 to 3 weeks after discharge.


CONCLUSIONS
Spontaneously removed endobiliary J-stent drainage is a safe and effective surgical technique that allows for straightforward postoperative management after LCBDE.
Huang
Jianping
J
Department of Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, PuAn Road 185, Shanghai, China.
Zhu
Jianming
J
D002758:Cholangiography; D042883:Choledocholithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D002768:Choledochostomy / Q000295:instrumentation*; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D012189:Retrospective Studies; D015607:Stents; D013536:Suture Techniques; D016896:Treatment Outcome