PMID: 9419297Jan 7, 1998Paper

Evaluation of laparoscopic management of common bile duct stones in 220 patients

Surgical Endoscopy
J C BerthouK Moussalier

Abstract

The aim of this study was to evaluate the feasibility and results of laparoscopic management of common bile duct stones (CBDS). From October 1990 to November 1996, 220 patients with CBDS have been managed laparoscopically. CBDS were suspected or diagnosed preoperatively in 130 patients (59.1%) and at intraoperative cholangiography (IOC) in 90 patients (40.9%). A transcystic duct extraction (TCDE) was attempted in 112 patients and a primary choledochotomy in 108 patients. TCDE was successful in 77 cases (68.8%). The 35 failures were treated by 29 laparoscopic choledochotomies, 1 intraoperative and 5 postoperative endoscopic sphincterotomies (ES). A choledochotomy was thus performed in 137 cases and was successful in 133 cases (97.1%). The four failures were managed by three laparotomies and one postoperative ES. The overall success rate was 95.5% (210/220). There was 4 deaths (0.9%) within the 1st postoperative month in ASA 3 patients and the morbidity rate was 9.1% (20/220). There were 7 residual stones (3.2%). Laparoscopic desobstruction of CBDS appears to be safe and effective and has the advantage to be a single-stage procedure. It could become in the future with refinement of instrumentation and skill of surgeons the best t...Continue Reading

Citations

Oct 3, 2006·Journal of Hepato-biliary-pancreatic Surgery·Masato YamazakiShuuji Naka
Aug 23, 2002·ANZ Journal of Surgery·Kaja LudwigFerdinand Koeckerling
Mar 24, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Qi WeiJunda Li
Jun 25, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Manjula JeyapalanMorris E Franklin
Aug 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Taichi KanamaruYoshifumi Takeyama
Aug 10, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Vivek ManglaVinod K Ramteke
Nov 20, 2004·ANZ Journal of Surgery·Jonathan M HemliDavid M Townend
Jul 14, 2012·World Journal of Gastroenterology : WJG·Jiong LuNan-Sheng Cheng
Jan 1, 2007·Journal of Minimal Access Surgery·Samik Kumar BandyopadhyayOm Tantia
May 17, 2001·Surgical Endoscopy·M C Lilly, M E Arregui
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Jun 29, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·J Vracko, K L Wiechel
Jan 19, 2008·Annals of the Royal College of Surgeons of England·M JameelA L Baker

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