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  • Laparoskopski transcistični pregled žolčevodov in odstranjevanje žolčevodnih kamnov = Laparoscopic transcystic common bile duct exploration and bile duct stones extraction
    Vračko, Jože
    Background. Laparoscopic transcystic (L-TC) common bile ducts exploration witha simultaneous removal of common duct stones has been recognized worldwideas a standard technique for treating patients ... with gallstones and common bile duct calculi. The procedure is more easy to perform by the transcystic approach than via laparoscopic choledochotomy. The latter requiresclosure by the T-tube drainage and is associated with longer hospital stay. The paper present L-TC choledochoscopy and estraction of common duct stones performed in our patients. Patients and methods. The series included 13female and 5 male patients, aged 53 to 72 years (mean age 64 yrs). A flexible scope, either 5 mm or 2.4 mm in diameter, was inerted via the cystic duct into the biliary ducts. indications for the procedure included suspected and unsuspected choledocholithiasis, and mild-degree of acute bilitary pancreatitis. L-TC cholangiography was used selectively. Very small common duct concrements, and tiny stone fragments and gravel were washed out andžor pushed throught the papilla of Vater into the duodenum, while larger calculi were extracted via the cystic duct with a Dormia basket. Results. The endoscope was successfully inserted into the biliary ducts in 13 of the 18 patients. The feasibility rate of L-TC choledochoscopy was 72%, and the success rate for removal of common duct stones 87.5%. Five patients harbouringvery small gallstones had severe inflammation of the distal end of the main bile duct. Inour series there were no intraoperative or postoperativecomplications. The lenght of postoperative hospital stay was 2 to5 days (mean 3 days).(Abstract truncated at 2000 characters)
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 3, št. 6, okt. 1998, str. 67-74)
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - slovenski
    COBISS.SI-ID - 7958233

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