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Related Experiment Videos

Laparoscopic choledocholithotomy with rigid nephroscope.

Rajeev Sinha1

  • 1Department of Surgery, MLB Medical College, Jhansi, Uttar Pradesh, India. sinha_rga@yahoo.co.in

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|November 16, 2012
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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See all related articles

Laparoscopic common bile duct lithotomy using a rigid scope is a feasible and affordable alternative for removing large impacted stones. This method offers advantages over flexible choledochoscopes, particularly in terms of cost and effectiveness.

Area of Science:

  • Surgical Innovation
  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Flexible choledochoscopes for laparoscopic common bile duct lithotomy (LCDL) are costly and less effective for large impacted stones.
  • A need exists for more affordable and efficient tools for LCDL.

Purpose of the Study:

  • To evaluate the feasibility, effectiveness, and cost-efficiency of using a rigid nephroscope for transdochal laparoscopic common bile duct lithotomy (LCDL).

Main Methods:

  • 172 consecutive patients with common bile duct stones underwent laparoscopic cholecystectomy and transdochal LCDL using a rigid nephroscope.
  • The common bile duct was closed with sutures or a T tube.
  • Perioperative parameters were recorded.

Main Results:

Related Experiment Videos

  • Transdochal LCDL was successful in 172 patients, with a low conversion rate (4.65%) to open surgery.
  • The procedure was effective for large and impacted stones (4-12 mm).
  • Postoperative complications were minimal, including mild pancreatitis and biliary peritonitis.

Conclusions:

  • Rigid scope transdochal LCDL is a feasible, effective, and more affordable option for managing common bile duct stones.
  • This technique is particularly advantageous for large impacted stones.
  • It presents a cost-effective alternative to flexible choledochoscopy.