| Theme |
Current Treatment Strategies for Common Bile Duct Stones |
| Title |
Treatments for Bile Duct Stones in Gallstone Patients |
| Author |
Kazunori Yokohata |
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University |
| Author |
Ken Inoue |
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University |
| Author |
Takao Ohtsuka |
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University |
| Author |
Jiro Ohuchida |
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University |
| Author |
Shuji Shimizu |
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University |
| Author |
Masao Tanaka |
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University |
| [ Summary ] |
Treatments for patients with bile duct stones include one step surgical treatment and a combination of cholecystectomy and endoscopic choledocholithotomy. A one step surgical treatment is ideal because both cholecystectomy and choledocholithotomy are performed at the same time. But the maneuver is more complicated than cholecystectomy alone and additional endoscopic therapy is necessary when remnant bile duct stones exist. Combination therapy allows the surgeon to perform simple cholecystectomies but the patient is exposed to endoscopic complications, such as pancreatitis. In this article, we introduce laparoscopic trans-cystic duct choledocholithotomy and laparoscopic choledochotomy as a one step surgical treatment, and the combination of laparoscopic cholecystectomy and endoscopic sphincterotomy or endoscopic balloon papillary dilation as a combination therapy. |