Trend towards primary closure following laparoscopic exploration of the common bile duct.

Annals of the Royal College of Surgeons of England
M JameelA L Baker

Abstract

The aim of this study was the assessment of patient outcome, peri-operative complications, length of stay and duration of operation after laparoscopic primary closure of the common bile duct (CBD) compared with choledochotomy with T-tube drainage and trans-cystic exploration. Analysis of prospectively collected data on 71 explorations of the common bile duct between July 2001 and March 2006. A total of 71 patients had exploration of the CBD. Within this group, 12 were referred after failed endoscopic retro-grade cholangiopancreatography (ERCP). The methods of exploration included trans-cystic (9 cases), choledochotomy with T-tube (12), and choledochotomy with primary closure (50). CBD stones were found in 66 patients. In the remaining cases, we found a stricture in 1, debris in 2, and dilatation of the CBD without a stone in 2. There were 5 conversions to open technique and 3 patients required postoperative ERCP (1 with permanent stenting). Peri-operative complications included T-tube (3), primary closure group (9), and trans-cystic (0). There was no statistical significant difference (Chi-square test, P = 0.296) between the groups. There was a trend towards a shorter length of stay in the primary closure group as compared with...Continue Reading

References

May 1, 1995·The British Journal of Surgery·M RhodesG Fielding
Dec 1, 1994·The Australian and New Zealand Journal of Surgery·J A WilliamsE A Russell
Jun 1, 1996·World Journal of Surgery·E LezocheM Guerrieri
Jan 7, 1998·Surgical Endoscopy·J C BerthouK Moussalier
Jun 20, 2002·ANZ Journal of Surgery·Vanessa L WillsJohn O Jorgensen
Sep 18, 2002·Surgical Endoscopy·J S Wu, N J Soper
Nov 26, 2002·The British Journal of Surgery·M H Thompson, S E Tranter

❮ Previous
Next ❯

Citations

Jun 11, 2010·Surgical Endoscopy·Jagdish ChanderVinod Kumar Ramteke
Aug 14, 2010·Surgical Endoscopy·D Wayne OverbyUNKNOWN Society of American Gastrointestinal and Endoscopic Surgeons
Nov 19, 2013·The Journal of Surgical Research·Caoye WangYueming Sun
Aug 13, 2009·Gastroenterology Research and Practice·Abolfazl ShojaiefardArianeb Mehrabi
Dec 15, 2010·The Journal of Small Animal Practice·S G BakerS J Mehler
Nov 3, 2010·ANZ Journal of Surgery·Michael D Kelly
Sep 25, 2014·Surgical Endoscopy·Matthew LyonHarish Kumar
Oct 4, 2014·The Journal of Surgical Research·Xihua YangSteven C Cunningham
Feb 9, 2017·Asian Journal of Endoscopic Surgery·Tetsuya OtaniNorio Katayanagi
Aug 27, 2013·World Journal of Gastrointestinal Surgery·Giovanni D De Palma
Oct 14, 2014·World Journal of Gastroenterology : WJG·Renato CostiLeopoldo Sarli
Feb 7, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pablo Parra-MembrivesVerónica Pino-Díaz
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pablo Parra-MembrivesJavier Jiménez-Vega
Jun 25, 2013·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Apr 10, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hee Jung YiHyeon Kook Lee
Nov 1, 2012·Korean Journal of Hepato-biliary-pancreatic Surgery·Keong Won YunHye Seong Ahn
May 1, 2011·Korean Journal of Hepato-biliary-pancreatic Surgery·Seong Uk KwonHyun Sik Min
May 1, 2013·Korean Journal of Hepato-biliary-pancreatic Surgery·Whanbong Lee, Jungnam Kwon
Oct 20, 2017·Surgical Endoscopy·Palanisamy SenthilnathanChinnusamy Palanivelu

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.