The risks associated with ERCP and the morbidity associated with open surgery have paved the way for considering Laparoscopic common bile duct exploration .
Sueth, "Laparoscopic common bile duct exploration," Annals of Surgery, vol.
 had also reported a successful use of a rigid nephroscope for laparoscopic common bile duct explorations. LCBDE was successfully done in 22 (73.3%) patients.
Methods: Seventy-eight patients with cholelithiasis were randomly divided into a treatment group and a control group (n=39) that all had laparoscopic common bile duct exploration. The treatment group was intravenously infused with 1.5 mg/kg lidocaine by using a venous pump under anesthesia induction at the speed of 2 mgkg-1h-1 until the end of surgery, while the control group was given normal saline with the same volume.
Conclusion: Laparoscopic common bile duct exploration is a promising minimally invasive surgery for patients with cholelithiasis, during which intravenously infused lidocaine can rapidly recover the gastrointestinal function and exert short-term analgesic effects, with mild adverse reactions also.
KEY WORDS: Adverse reaction, Analgesia, Gastrointestinal function, Lidocaine, Laparoscopic common bile duct exploration.
Cholelithiasis, as a common and frequently- occurring disease in general surgery departments, accounts for approximately 12.0% of patients hospitalized in the same period.1 Traditionally, it is treated by laparotomy, with satisfactory outcomes also.2 With development of medical devices and surgical techniques, minimally invasive surgeries, especially laparoscopic common bile duct exploration, have been given first priority recently.3,4 However, this surgery should be assisted by using postoperative analgesic protocols.
In this study, we evaluated the effects of intravenously infused lidocaine on analgesia and gastrointestinal function of patients receiving laparoscopic common bile duct exploration, aiming to find a safe, effective way for using this analgesic agent.
Analgesic methods for surgery and anesthesia: All patients were subjected to laparoscopic common bile duct exploration. After epidural anesthesia or general anesthesia, they were placed in the supine position, and the surgical field was sterilized with drapes.
In summary, laparoscopic common bile duct exploration is a promising minimally invasive surgery for patients with cholelithiasis.