Value of endoscopic sphincterotomy and endoscopic nasobiliary drainage before laparoscopic cholecystectomy

    ZHAN Pengª²Yuan, LI Jiangª²Ling, ZHENG Lanª²Dong, XIA Rongª²Long, HAN Daª²Zheng2

    1Department of General Surgery, 2Endoscopy Room of Department of Gastroenterology, Frist Affiliated, Henan University, Kaifeng 475001, China

    ¡¾Abstract¡¿ AIM: To evaluate the application value of endoscopic sphincterotomy (EST) and endoscopic nasobiliary drainage (ENBD) before laparoscopic cholecystectomy (LC). METHODS: Twentyª²seven cases of EST were performed before LC. RESULTS: Fortyª²five blocks of bile ducts stones were taken out from 25 cases and the success rate was 92.25%. After EST, 1 case had the complication of mild acute pancreas inflammation and LC was performed after treatment. Two cases failed, in one of which the length of the narrow bile ducts was more than 2cm and in the other the lead could not pass. The success rate of LC was 100% and the average hospital stay time was (8¡À3)d. CONCLUSION: The combined use of EST and ENBD before LC is of good value in treating gall bladder stones with common bile duct stones. ......