Laparoscopic choledocholithotomy and transductal T-tube insertion with indocyanine green fluorescence imaging and laparoscopic ultrasound: A case report  

作　　者：Daegwang Yoo 

机构地区：[1]Department of Surgery,Seoul Soonchunhyang University Hospital,Seoul 04401,South Korea

出　　处：《World Journal of Clinical Cases》2023年第29期7193-7199,共7页世界临床病例杂志

基　　金：Supported by the Soonchunhyang University Research Fund,No.2023-0060.

摘　　要：BACKGROUND Laparoscopic choledocholithotomy for a large impacted common bile duct(CBD)stone is a challenging procedure because of the technical difficulty and the possibility of postoperative complications,even in this era of minimally invasive surgery.Herein,we present a case of large impacted CBD stones.CASE SUMMARY A 71-year-old man showed a distal CBD stone(45 mm×20 mm)and a middle CBD stone(20 mm×15 mm)on computed tomography.Endoscopic retrograde cholangiopancreatography failed due to the large size of the impacted stone and the presence of a large duodenal diverticulum.Laparoscopic choledocholithotomy was decided,and we used a near-infrared indocyanine green fluorescence scope to detect and expose the supraduodenal CBD more accurately.Then,the location,size,and shape of the stones were detected using a laparoscopic intraoperative ultrasound.The CBD was opened with a 2-cm-sized vertical incision.After irrigating several times,two CBD stones were removed with the Endo BabcockTM.T-tube insertion was done for postoperative cholangiography and delayed the removal of remnant sludge.The patient had no postoperative complications.CONCLUSION Laparoscopic choledocholithotomy by transcholedochal approach and transductal T-tube insertion is a safe and feasible option for large-sized impacted CBD stones.

关 键 词：GALLSTONES Indocyanine green CHOLEDOCHOLITHOTOMY LAPAROSCOPY Endoscopic retrograde cholangiopancreatography Case report 

分 类 号：R735.9[医药卫生—肿瘤]