PMID: 9419298Jan 7, 1998Paper

Follow-up of 161 unselected consecutive patients treated laparoscopically for common bile duct stones

Surgical Endoscopy
A M Paganini, E Lezoche

Abstract

Aim was to study the incidence of recurrent ductal stones and of biliary strictures at follow-up after laparoscopic treatment of gallstones and common bile duct stones and to update the short-term results. Ductal stones were proven in 161 patients of 1,975 (8.1%) undergoing laparoscopic cholecystectomy. Laparoscopic transcystic CBD exploration was the method of choice. If this was unsuccessful, laparoscopic choledochotomy was performed. After treatment, all patients were enrolled in a continued, ongoing follow-up study. Laparoscopic CBD exploration was completed in 157 cases (transcystic 107, choledochotomy 50). Retained stones occurred in eight patients (5%) and major complications (cystic duct leakage, hemoperitoneum) in six (3.8%); mortality occurred in one high-risk patient (0.6%). Follow-up available in 154 patients (two unrelated deaths) for a period of up to 62 months showed the occurrence of recurrent ductal stones in five cases (3.2%) and no signs of bile stasis, suggestive of ductal stricture, on the basis of clinical and laboratory findings. This prospective, ongoing follow-up study demonstrates that laparoscopic treatment of gallstones and common bile duct stones in unselected patients is feasible and safe.

Citations

Oct 19, 2007·Surgical Endoscopy·B TopalF Penninckx
Jun 11, 2010·Surgical Endoscopy·Jagdish ChanderVinod Kumar Ramteke
Oct 3, 2006·Journal of Hepato-biliary-pancreatic Surgery·Masato YamazakiShuuji Naka
Aug 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Taichi KanamaruYoshifumi Takeyama
Nov 20, 2004·ANZ Journal of Surgery·Jonathan M HemliDavid M Townend
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Feb 2, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ayman El NakeebMostafa Abu Zeid
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Jun 24, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Tahsin ColakSuha Aydin
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