Surgical treatment of incarcerated calculi via laparoscopic bile duct exploration using laparotomy biliary lithotomy forceps

Jiang,H.; Wang,S. Y.; Jin,X. L.; Jin,J. C.; Gu,H. B.; Zhang,F. M.

doi:10.3892/etm.2016.3618

Surgical treatment of incarcerated calculi via laparoscopic bile duct exploration using laparotomy biliary lithotomy forceps

Authors:
- H. Jiang
- S. Y. Wang
- X. L. Jin
- J. C. Jin
- H. B. Gu
- F. M. Zhang
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Affiliations: Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Yanbian University, Yanji, Jilin 133000, P.R. China
Published online on: August 24, 2016 https://doi.org/10.3892/etm.2016.3618
Pages: 2314-2316

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Abstract

The present study aimed to investigate the practicability and clinical value of applying laparotomy biliary lithotomy forceps to laparoscopic bile duct exploration (LCBDE) for the surgical treatment of incarcerated calculi. A total of 63 patients were diagnosed with cholecystolithiasis and choledocholithiasis. The present study performed a retrospective analysis of clinical samples from 16 of these patients who had incarcerated calculi at the terminus of the common bile duct, and who had been treated with laparoscopic cholecystectomy and LCBDE. During the procedure, laparotomy biliary lithotomy forceps were used to gently remove the calculi from the common bile duct. Of the surgical procedures that used laparotomy biliary lithotomy forceps, one case was unsuccessful and 15 cases were successful. The results of the present study suggested that it may be clinically advisable to use laparotomy biliary lithotomy forceps to remove incarcerated calculi from the common bile duct during a laparoscopy, since it is easy, economical and effective.

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1	Noble H, Tranter S, Chesworth T, Norton S and Thompson M: A randomized, clinical trial to compare endoscopic sphincterotomy and subsequent laparoscopic cholecystectomy with primary laparoscopic bile duct exploration during cholecystectomy in higher risk patients with choledocholithiasis. J Laparoendosc Tech A. 19:713–720. 2009. View Article : Google Scholar
2	Kune GA: Surgical anatomy of common bile duct. Arch Surg. 89:995–1004. 1964. View Article : Google Scholar : PubMed/NCBI
3	Kuroki T, Tajima Y, Tsuneoka N, Kitasato A, Adachi T, Kosaka T, Okamoto T, Ohno S and Kanematsu T: Placement of a plasticbiliary biliary stent tube with primary closure of the common bile duct after laparoscopic common bile duct exploration. Hepatogastroenterology. 57:1034–1036. 2010.PubMed/NCBI
4	Lux G, Ell C, Hochberger J, Müller D and Demling L: The first successful endoscopic retrograde laser lithotripsy of common bile duct stones in man using a pulsed neodymium-YAG laser. Endoscopy. 18:144–145. 1986. View Article : Google Scholar : PubMed/NCBI
5	Moon JH, Cha SW, Ryu CB, Kim YS, Hong SJ, Cheon YK, Cho YD, Kim YS, Lee JS, Lee MS, et al: Endoscopic treatment of retained bile-duct stones by using a balloon catheter for electrohydraulic lithotripsy without cholangioscopy. Gastrointest Endosc. 60:562–566. 2004. View Article : Google Scholar : PubMed/NCBI
6	Cipolletta L, Costamagna G, Bianco MA, Rotondano G, Piscopo R, Mutignani M and Marmo R: Endoscopic mechanical lithotripsy of difficult common bile duct stones. Br J Surg. 84:1407–1409. 1997. View Article : Google Scholar : PubMed/NCBI
7	Garg PK, Tandon RK, Ahuja V, Makharia GK and Batra Y: Predictors of unsuccessful mechanical lithotripsy and endoscopic clearance of large bile duct stones. Gastrointest Endosc. 59:601–605. 2004. View Article : Google Scholar : PubMed/NCBI
8	Chang WH, Chu CH, Wang TE, Chen MJ and Lin CC: Outcome of simple use of mechanical lithotripsy of difficult common bile duct stones. World J Gastroenterol. 11:593–596. 2005. View Article : Google Scholar : PubMed/NCBI
9	Shim CS: How Should Biliary Stones be Managed? Gut Liver. 4:161–172. 2010. View Article : Google Scholar : PubMed/NCBI
10	Hochberger J, Tex S, Maiss J and Hahn EG: Management of difficult common bile duct stones. Gastrointest Endosc Clin N Am. 13:623–634. 2003. View Article : Google Scholar : PubMed/NCBI
11	Patel SN, Rosenkranz L, Hooks B, Tarnasky PR, Raijman I, Fishman DS, Sauer BG and Kahaleh M: Holmium-yttrium aluminum garnet laser lithotripsy in the treatment of biliary calculi using single-operator cholangioscopy: A multicenter experience (with video). Gastrointest Endosc. 79:344–348. 2014. View Article : Google Scholar : PubMed/NCBI
12	Tandan M, Reddy DN, Santosh D, Reddy V, Koppuju V, Lakhtakia S, Gupta R, Ramchandani M and Rao GV: Extracorporeal shock wave lithotripsy of large difficult common bile duct stones: Efficacy and analysis of factors that favor stone fragmentation. J Gastroenterol Hepatol. 24:1370–1374. 2014. View Article : Google Scholar
13	Amplatz S, Piazzi L, Felder M, Comberlato M, Benvenuti S, Zancanella L, Di Fede F, de'Guelmi A, Bertozzo A, Farris P, et al: Extracorporeal shock wave lithotripsy for clearance of refractory bile duct stones. Dig Liver Dis. 39:267–272. 2007. View Article : Google Scholar : PubMed/NCBI