title: Concurrent Percutaneous Transhepatic Papillary Balloon Dilatation Combined with Laparoscopic Cholecystectomy for the Treatment of Gallstones with Common Bile Duct Stones.
abstract: OBJECTIVE
  To evaluate the clinical effectiveness and safety of percutaneous transhepatic papillary balloon dilatation (PPBD) combined with laparoscopic cholecystectomy (LC) for the treatment of gallstones with common bile duct stones.
  
  
  METHODS
  From February 2012 to January 2013, 65 patients (31 males and 34 females) who had gallstones with common bile duct stones were divided into two groups: endoscopic papillary balloon dilatation (EPBD)+LC (n = 40 cases) and PPBD+LC (n = 25 cases). The maximum transverse diameter of common bile duct stoned was 15 mm. White blood cell count and serum amylase level were measured at 12 hours and 72 hours after the operation, and operation time, time of gastrointestinal function recovery, and hospitalization time were analyzed.
  
  
  RESULTS
  No case in either group was converted to open surgery. The stones were successfully pushed out into the duodenum in all patients of both groups. One case of postoperative pancreatitis (2.5%) and 5 cases of hyperamylasemia (12.5%) occurred among the 40 patients in the EPBD+LC group. In contrast, no case of postoperative pancreatitis and 2 cases of hyperamylasemia (8%) occurred among the 25 patients in the PPBD+LC group. The serum amylase level at 12 hours postoperatively was statistically significantly different (307 ± 39.94 IU/L in the EPBD+LC group and 193 ± 30.78 IU/L in the PPBD+LC group; P < .05). There were no significant differences between the two groups in operative time, postoperative gastrointestinal function recovery time, or hospital stay time (P > .05). During follow-up of 2 years, 1 case of recurrence for common bile duct stones was discovered and was treated successfully with EPBD repeatedly.
  
  
  CONCLUSIONS
  PPBD combined with LC simultaneously is an alternative effective and safe procedure for the treatment of gallstones and bile duct stones, especially for those patients who are unsuitable for endoscopic treatment.
authors.affiliation: 1 Department of General Surgery, Qilu Hospital, Shandong University , Jinan, People's Republic of China .|2 Department of Hepatobiliary Surgery, The Municipal Hospital of Weihai , Weihai, People's Republic of China .
authors.forename: Shengyong
authors.initials: S
authors.lastname: Li
authors.affiliation: 3 Department of Interventional Medicine, The Second Hospital of Shandong University , Jinan, People's Republic of China .
authors.forename: Yuliang
authors.initials: Y
authors.lastname: Li
authors.affiliation: 2 Department of Hepatobiliary Surgery, The Municipal Hospital of Weihai , Weihai, People's Republic of China .
authors.forename: Jianli
authors.initials: J
authors.lastname: Geng
authors.affiliation: 3 Department of Interventional Medicine, The Second Hospital of Shandong University , Jinan, People's Republic of China .
authors.forename: Bin
authors.initials: B
authors.lastname: Liu
authors.affiliation: 2 Department of Hepatobiliary Surgery, The Municipal Hospital of Weihai , Weihai, People's Republic of China .
authors.forename: Ruohui
authors.initials: R
authors.lastname: Gao
authors.affiliation: 2 Department of Hepatobiliary Surgery, The Municipal Hospital of Weihai , Weihai, People's Republic of China .
authors.forename: Zhongxiao
authors.initials: Z
authors.lastname: Zhou
authors.affiliation: 1 Department of General Surgery, Qilu Hospital, Shandong University , Jinan, People's Republic of China .
authors.forename: Sanyuan
authors.initials: S
authors.lastname: Hu
mesh_terms: D014670:Ampulla of Vater; D002404:Catheterization / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D003135:Common Bile Duct / Q000601:surgery*; D004106:Dilatation; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence