Surgical Treatment of Incarcerated Calculi via Laparoscopic Bile Duct Exploration Using Laparotomy Biliary Lithotomy Forceps under the Guidance of Choledochoscope

摘要

The incidence of gallstones varies from 6 to 10 per cent in adult population.1 Three per cent to 14.7 per cent of patients of gallstones have concurrent common bile duct (CBD) stones as well.2 Since the technological development of the laparoscope, laparoscopic bile duct exploration (LCBDE) has been adopted at an increasing number of hospitals, in particular because of its advantages, including small scarring, painlessness, a quick recovery time, short hospital stays, and few complications.3 The primary aim of the LCBDE was the removal of incarcerated calculi from the lower part of the CBD. The previous study of applying laparotomy biliary lithotomy forceps (LBLF) to the LCBDE has shown that there is still room for improvement.4 The present study aimed to improve the the practicability and clinical value of applying LBLF under the guidance of choledochoscope to the LCBDE.