Surg Laparosc Endosc Percutan Tech. 2026 Jun 5. doi: 10.1097/SLE.0000000000001479. Online ahead of print.
ABSTRACT
OBJECTIVE: To investigate the clinical application value of the combined use of 3 endoscopes (laparoscope, choledochoscope, gastroscope) with antegrade nasobiliary drainage in the treatment of common bile duct stones.
MATERIALS AND METHODS: A retrospective analysis was conducted on 80 patients diagnosed with cholecystolithiasis and choledocholithiasis admitted to Dongshan Hospital from January 2024 to August 2025. According to the bile drainage method, patients were divided into the endoscopic nasobiliary drainage tube group (ENBD group, n = 40), who underwent concurrent 3-endoscope combination with antegrade nasobiliary tube placement, and the T-tube group (n = 40), who underwent 2-endoscope (laparoscope, choledochoscope) combination with T-tube placement. Intraoperative, postoperative, and complication conditions were compared between the two groups.
RESULTS: All patients in both groups underwent surgery and had drainage tubes successfully placed, with no fatalities reported. There were no statistically significant differences between the two groups in intraoperative blood loss or postoperative complications (bile leakage, pancreatitis) (P > 0.05). The operation time in the ENBD group was longer than that in the T-tube group (P < 0.05). However, the duration of tube retention in the ENBD group was significantly shorter than that in the T-tube group, with a statistically significant difference (Z = -7.698, P < 0.05). The postoperative hospital stay in the ENBD group was significantly shorter than that in the T-tube group, with statistically significant differences (P < 0.05).
CONCLUSION: The concurrent combined use of 3 endoscopes with antegrade nasobiliary drainage is a safe and effective surgical option for the treatment of selected cases of common bile duct stones.
PMID:42284571 | DOI:10.1097/SLE.0000000000001479
