Laparoscopic Choledocholithotomy With a Novel Articulating Forceps. (April 2016)

• Record Type: Journal Article
• Authors: Zhan, Xiaoli; Wang, Yuedong; Zhu, Jinhui; Lin, Xianming
• Is Part Of: Surgical innovation. Volume 23:Number 2(2016:Apr.)
• Page Start: 124
• Page End: 129
• Publication Date: 2016-04
• Subjects: laparoscopic -- common bile duct -- choledocholithiasis -- choledochotomy -- choledochoscopy; Surgery, Operative -- Periodicals; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Diffusion of Innovation -- Periodicals; Chirurgie opératoire -- Périodiques; Chirurgie endoscopique -- Périodiques; Chirurgie laparoscopique -- Périodiques; 617.91
• DOI: 10.1177/1553350615591399
• Languages: English
• ISSNs: 1553-3506

Abstract

Purpose . The aim of this study was to assess the safety and effectiveness of laparoscopic common bile duct (CBD) exploration with a novel articulating forceps. Methods . A retrospective analysis was carried out of 90 patients who underwent laparoscopic transcholedochal CBD exploration for choledocholithiasis between May 2006 and June 2014. Forty-five patients underwent laparoscopic choledocholithotomy using the routine instruments (group A). Forty-five patients underwent laparoscopic choledocholithotomy using the routine instruments plus the novel articulating forceps (group B). The 2 group populations were similar with regard to demographic data and clinical presentations. Results . Laparoscopic transcholedochal CBD exploration was successful in all 90 patients. The mean diameter of the CBD was 14.42 mm in group A and 14.73 mm in group B ( P > .05). The average number of stones extracted per patient was 4.22 in group A and 4.67 in group B ( P > .05). The patients in group A had a significantly longer operative time than the patients in group B (109.38 vs 80.49 minutes; P < .01). The intraoperative blood loss was minimal in both groups, and no major complications were observed in either group. The mean hospitalization stay was 6.60 days in group A and 5.58 days in group B ( P < .01). Conclusion . Laparoscopic transcholedochal CBD exploration with the novel articulating forceps is a safe and effective approach to the management of choledocholithiasis that offers a short operating time and short postoperative hospital stay.