Advantages of laparoscopic stented choledochorrhaphy over T-tube placement

The British Journal of Surgery
A M IslaJames Arbuckle

Abstract

Postoperative complications after laparoscopic choledochotomy are mainly related to the T tube. Both laparoscopic endobiliary stent placement with primary closure of the common bile duct (CBD) and primary closure of the CBD without drainage have been proposed as safe and effective alternatives to T tube placement. This was a retrospective analysis of data collected prospectively on 53 consecutive patients suffering from proven choledocholithiasis who underwent laparoscopic CBD exploration through a choledochotomy between January 1999 and January 2003. In the early period a T tube was placed at the end of the procedure (n = 32). Biliary stent placement and primary CBD closure was performed from June 2001 (n = 21). There were no significant differences in epidemiological characteristics, preoperative factors or intraoperative findings between the groups. Seven patients developed complications, six in the T tube group and one in the stent group. Univariate analysis revealed a significantly lower morbidity rate and shorter postoperative hospital stay in the stent group. Placement of a biliary endoprosthesis after laparoscopic choledochotomy achieves biliary decompression, and avoids the complications of a T tube, leading to a short...Continue Reading

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Citations

Oct 4, 2011·The Indian Journal of Surgery·K S Savita, Vishnu K Bhartia
Jun 16, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·John GriniatsosAlberto M Isla
Aug 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Taichi KanamaruYoshifumi Takeyama
Aug 10, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Vivek ManglaVinod K Ramteke
Feb 7, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pablo Parra-MembrivesVerónica Pino-Díaz
Jan 1, 2007·Journal of Minimal Access Surgery·Samik Kumar BandyopadhyayOm Tantia
Aug 12, 2014·Biometals : an International Journal on the Role of Metal Ions in Biology, Biochemistry, and Medicine·Yigang ChenQi Zheng
Feb 14, 2008·World Journal of Surgery·Irfan AhmedDileep N Lobo
Feb 25, 2014·Cirugía española·Israel Abellán MorcilloAlberto Martinez Isla
Jul 4, 2012·Gastrointestinal Endoscopy Clinics of North America·Claudio Navarrete, Jaquelina M Gobelet
Aug 13, 2009·Gastroenterology Research and Practice·Abolfazl ShojaiefardArianeb Mehrabi
May 6, 2015·Clinics and Research in Hepatology and Gastroenterology·Hong-Yi ZhuFu Ji
Sep 25, 2014·Surgical Endoscopy·Matthew LyonHarish Kumar
Oct 5, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Pablo Parra-MembrivesGranada Jiménez-Riera
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Aug 2, 2017·Wiener klinische Wochenschrift·Ke-Yue LiDe-Lin Zhang

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