Laparoscopic Choledocoscopy

Adrian Maghiar, Prof, PhD, MD, George Dejeu, MD, Teodor Maghiar, Prof, PhD, MD, Alin Suta, MD. Spitalul Pelican Oradea.

 Although it is known for years that laparoscopic approach to common bile stones is feasible, few centers with experience in advanced laparoscopic surgery approach this pathology. In our country common bile lithiasis is commonly treated by the gastroenterologist by ERCP, only in complicated cases that do not resolve by ERCP does the surgeon have a role.

We have an experience of 13 choledochoscopy’s with the extraction of common bile stones using the Dormia or Fogarty probes. In our technique we use a flexible one working channel choledochoscope that is introduced in the abdomen through a 10mm trocar placed under the right costal margin. In 4 cases we used Kehr tube choledochal drainage for 2 weeks postoperatively, and in the remaining cases we used primary closure of the choledochotomy with resorbable sutures. All cases had favorable outcomes with a mean hospital stay of 5 days, and mean operation duration 90 minutes.

Our results are in line with other published data concerning one stage treatment of common bile stones and gall bladder stones by laparoscopic approach.

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