Cystic duct dilation through endoscopic retrograde cholangiopancreatography for treatment of gallstones and choledocholithiasis: Six case reports and review of literature  

作　　者：Yong-Gang He Ming-Fa Gao Jing Li Xue-Hui Peng Yi-Chen Tang Xiao-Bing Huang Yu-Ming Li 

机构地区：[1]Department of Hepatobiliary,The Second Affiliated Hospital,Army Medical University,Chongqing 400037,China [2]Department of Hepatobiliary,North-Kuanren General Hospital,Chongqing 401121,China

出　　处：《World Journal of Clinical Cases》2021年第3期736-747,共12页世界临床病例杂志

基　　金：Hospital Research Fund(General Project)from The Second Affiliated Hospital of Army Medical University,No.2016YLC18 and No.2019XLC2006.

摘　　要：BACKGROUND Choledocholithiasis removal via endoscopic retrograde cholangiopancreatography(ERCP)then followed by laparoscopic cholecystectomy(LC)has gradually become the principal method in the treatment of gallstones and choledocholithiasis.We use ERCP through the cystic duct to treat gallstones combined with choledocholithiasis,with the aim to preserve the normal function of the gallbladder while simultaneously decreasing risk of biliary tract injury.CASE SUMMARY A total of six cases of patients diagnosed with gallstones and choledocholithiasis were treated with ERCP.The efficacy was evaluated via operation success rate,calculus removal rate,postoperative hospital stay and average hospitalization costs;the safety was evaluated through perioperative complication probability,gallbladder function detection and gallstones recrudesce.The calculus removal rate reached 100%,and patients had mild adverse events,including 1 case of postoperative acute cholecystitis and another of increased blood urinary amylase;both were relieved after corresponding treatment,the remaining cases had no complications.The average hospital stay and hospitalization costs were 6.16±1.47 d and 5194±696 dollars.The 3-11 mo follow-up revealed that gallbladder contracted well,without recurrence of gallstones.CONCLUSION This is the first batch of case reports for the treatment of gallstones and choledocholithiasis through ERCP approached by natural cavity.The results and effects of six reported cases proved that the new strategy is safe and feasible and is worthy of further exploration and application.

关 键 词：Common bile duct CHOLEDOCHOLITHIASIS Duct of gallbladder GALLSTONE Endoscopic retrograde cholangiopancreatography Case report 

分 类 号：R657.4[医药卫生—外科学]