Surgical treatment of incarcerated calculi via laparoscopic bile duct exploration using laparotomy biliary lithotomy forceps

Abstract

Abstract. The present study aimed to investigate the practicability and clinical value of applying laparotomy biliary lithotomy forceps to laparoscopic bile duct exploration (LCBDE) for the surgical treatment of incarcerated calculi. A total of 63 patients were diagnosed with cholecystolithiasis and choledocholithiasis. The present study performed a retrospective analysis of clinical samples from 16 of these patients who had incarcerated calculi at the terminus of the common bile duct, and who had been treated with laparoscopic cholecystectomy and LCBDE. During the procedure, laparotomy biliary lithotomy forceps were used to gently remove the calculi from the common bile duct. Of the surgical procedures that used laparotomy biliary lithotomy forceps, one case was unsuccessful and 15 cases were successful. The results of the present study suggested that it may be clinically advisable to use laparotomy biliary lithotomy forceps to remove incarcerated calculi from the common bile duct during a laparoscopy, since it is easy, economical and effective.

Laparoscopic lithotripsy and lithotomy of impacted stone at the terminal end of the common bile duct using a laparotomy biliary lithotomy spoon: A case report

“…The laparotomy biliary lithotomy spoon is available even at basic-level hospitals and is an economical instrument. Laparotomy lithotomy forceps can be used in the same manner [9] ; however, owing to the rigid handle, it is difficult to introduce this instrument into the CBD and to open the forceps satisfactorily within the CBD to capture the stone.…”

Comparison of open, laparo-endoscopic and one-stage laparoscopic approaches for treatment of gallbladder and common bile duct stones

“…Literature recommends lithotripsy and abdominal lithotripter tools for removal of riveted stones. [16,25] Our study has a number of limitation, which include non-randomization of groups, and failure to provide dimensions of stones and choledoch.…”

Surgical Treatment of Incarcerated Calculi via Laparoscopic Bile Duct Exploration Using Laparotomy Biliary Lithotomy Forceps under the Guidance of Choledochoscope

“…The previous study of applying laparotomy biliary lithotomy forceps (LBLF) to the LCBDE has shown that there is still room for improvement. 4 The present study aimed to improve the the practicability and clinical value of applying LBLF under the guidance of choledochoscope to the LCBDE.…”