Abstract
To evaluate the feasibility, safety, and short-term outcomes of primary closure (PC) and biliary drainage (BD), after the laparoscopic treatment of common bile duct (CBD) stones by choledocotomy. Between January 2009 and December 2014, 102 patients underwent laparoscopy for lithiasis of the CBD. Intraoperative cholangiography was systematically performed, followed by choledocoscopy, depending on the size of the CBD. Eighty (78.4%) of the 102 patients underwent laparoscopic stone extraction by choledocotomy, and were assigned to 2 groups: PC (group A, n=25), and BD (group B, n=55). Groups A and B were comparable in terms of age (62.3±26.1 vs. 66.0±19.3 y; P=0.53), the percentage of women (72.0% vs. 76.4%; P=0.68), body mass index (25.9±6.1 vs. 26.9±4.4 kg/m; P=0.52), and CBD diameter (11.6±3.1 vs. 12.1±3.8 mm; P=0.59). The mean durations of surgery and of hospital stay were significantly shorter in group A: 179±38 versus 211±57 minutes (P=0.02) and 5.4±2.0 versus 8.4±3.2 days (P<0.001). Groups A and B were comparable in terms of serious postoperative morbidity (Clavien-Dindo scores of 3, 4, and 5): 2 versus 4 (P=1). In group B, bile drain removal was complicated by choleperitoneum in 3 cases. With shorter durations of surgery an...Continue Reading
References
Feb 5, 1998·Lancet·M RhodesM P Lewis
Jul 22, 1998·Annals of Surgery·I J MartinG Fielding
Apr 8, 1999·Chirurgie; mémoires de l'Académie de chirurgie·J L BrefortG Langlois
Oct 20, 1999·Surgical Endoscopy·A CuschieriG B Hanna
Jun 20, 2002·ANZ Journal of Surgery·Vanessa L WillsJohn O Jorgensen
Oct 5, 2002·Surgical Endoscopy·G DeckerA Fingerhut
Jan 7, 2004·Annales de chirurgie·F Borie, B Millat
Aug 18, 2005·American Journal of Surgery·Hemmat MaghsoudiGolam Ali Jafary
Aug 5, 2006·Journal de chirurgie·F MuscariB Suc
May 25, 2007·Surgical Endoscopy·J Ch BerthouL Pellissier
Jan 19, 2008·Surgical Endoscopy·Zhang LeidaHe Yu
Mar 27, 2009·Asian Journal of Surgery·M AmbreenM M Memon
Jul 7, 2009·The Journal of Surgical Research·Wei-Jie ZhangXiao-Dong Mo
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Nov 17, 2011·World Journal of Surgery·Huihua CaiYi Miao
Apr 28, 2012·Journal of Visceral Surgery·S DaldoulA Zaouche
Oct 13, 2012·Annals of Surgery·Zi YinYajie Li
Jul 23, 2013·American Journal of Surgery·Bora KocAyhan Ozsoy
Feb 25, 2014·Cirugía española·Israel Abellán MorcilloAlberto Martinez Isla
Jun 19, 2014·Surgical Endoscopy·Anne MattilaIlmo Kellokumpu
Nov 5, 2014·Langenbeck's Archives of Surgery·Harald PuhallaNicholas O'Rourke
Citations
Mar 3, 2017·Digestive Diseases and Sciences·Shun-Qian WenGuan-Qun Liao
Oct 3, 2020·Langenbeck's Archives of Surgery·Yuan DengYun-Tao Ma
Dec 15, 2021·Journal of Zhejiang University. Science. B·Taifeng ZhuRui Zhang