Clinical application of fiber choledochoscope in treatment of retained biliary tract stones: An analysis of 573 cases

• Main Author: HAN Qing
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2013-06-01
• Series: Linchuang Gandanbing Zazhi
• Subjects: fibercholedochoscopy; T-tube; cholelithiasis
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=5366&ClassID=5692956

ObjectiveTo investigate the clinical application and value of fiber choledochoscope in the treatment of postoperative retained biliary tract stones. MethodsA retrospective analysis was performed on the clinical data of 573 patients with postoperative retained biliary tract stones who were treated by the fiber choledochoscope from January 2003 to December 2012. ResultsAmong the 573 patients, 536 (93.5%) had stones removed completely. Stone removal was performed 1-7 times (2.36±1.45 times) in each case. The complications during treatment included transient fever (23 cases, 4.0%), diarrhea (42 cases, 7.3%), hemobilia (7 cases, 1.2%), pancreatitis (3 cases, 0.5%), and sinus perforation (5 cases, 0.9%); all the complications were cured by conservative therapy. ConclusionThe stone-removing technique using fiber choledochoscope is a safe and effective method for treating postoperative retained biliary tract stones and deserves wide application.