Clinical study on the treatment of residual intrahepatic and extrahepatic bile duct stones via T-tube
sinus tract by rigid choledochoscope combined with holmium laser lithotripsy(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2019年第7期
- Page:
- 864-868
- Research Field:
- 其他（激光医学等）
- Publishing date:
Info
- Title:
- Clinical study on the treatment of residual intrahepatic and extrahepatic bile duct stones via T-tube
sinus tract by rigid choledochoscope combined with holmium laser lithotripsy
- Author(s):
- HUANG Jia1; HUANG Hai2; FANG Zhaoshan2; ZHANG Zhi2; GUI Shanle2; LUO Jinwu2; RUAN Jie2
- 1. Binyang People’s Hospital, Binyang 530405, China; 2. Department of Hepatobiliary Surgery, the First People’s Hospital of Nanning
City, Nanning 530022, China
- Keywords:
- Keywords: rigid choledochoscope; T-tube sinus tract; holmium laser; residual bile duct stone; hepatolithiasis; sheath tube
- PACS:
- R657.3
- DOI:
- DOI:10.3969/j.issn.1005-202X.2019.07.022
- Abstract:
- Abstract: Objective To investigate the clinical value of rigid choledochoscope combined with holmium laser lithotripsy in the
treatment of residual intrahepatic and extrahepatic bile duct stones through T-tube sinus tract under sheath protection. Methods
FromAugust 2015 to August 2018, 62 patients with residual intrahepatic and extrahepatic bile duct stones were randomly divided
into rigid choledochoscope group and choledochofiberscope group, with 31 cases in each group. The patients in rigid
choledochoscope group were treated with rigid choledochoscope combined with holmium laser lithotripsy through T-tube sinus
tract under the protection of sheath tube, while those in choledochofiberscope group were treated with fiberoptic choledochoscope
combined with holmium laser lithotripsy through T-tube sinus tract. The operation time, postoperative hospital stay, stone clearance
rate and related major complications of two groups were analyzed and compared. Results Compared with choledochofiberscope
group, rigid choledochoscope group had a higher clearance rate (90.3% vs 64.5%, P=0.033) and a shorter operation time
［(63±58) min vs (130±44) min, P<0.01］. There was no significant difference in postoperative hospital stay and incidence of
complications between two groups (P>0.05). Conclusion Using rigid choledochoscope combined with Holmium laser lithotripsy
through T-tube sinus tract for the treatment of residual intrahepatic and extrahepatic bile duct stones is proved to be safe, feasible
and efficient, with the advantages of short operation time and rapid recovery. Rigid choledochoscope combined with Holmium
laser lithotripsy through T-tube sinus tract is an optimal minimally invasive treatment strategy for residual bile duct stones after
biliary surgery.
Last Update: 2019-07-25