Use of rigid nephroscope for laparoscopic common bile duct exploration-a single-center experience.

World Journal of Surgery
Muneer KhanSyed Sajad Nazir

Abstract

Increasingly, laparoscopic biliary surgeons are undertaking laparoscopic cholecystectomy and laparoscopic common bile duct exploration for patients with cholelithiasis and choledocholithiasis. In laparoscopic common bile duct exploration a flexible choledochoscope is ordinarily used, and with this instrument the surgeon usually fails to remove large impacted stones. In contrast with use of a rigid nephroscope it is possible to remove all common bile duct stones irrespective of size and degree of impaction. The present study evaluates the efficiency of rigid nephroscope for managing common bile duct stones laparoscopically. In the present study laparoscopic common bile duct exploration for stones was performed in 80 patients via standard laparoscopic cholecystectomy port sites. Patients with a common bile duct diameter >10 mm were included in this study. The rigid nephroscope was passed through the epigastric port and negotiated into the common bile duct through a choledochotomy. Stones were removed with graspers. Large hard stones were fragmented by pneumatic lithotripsy. Of the 80 patients treated in this manner, 72 (90%) had multiple common bile duct calculi, and 8 (10%) had a solitary common bile duct calculus. Mean common b...Continue Reading

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Citations

Nov 16, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rajeev Sinha
Apr 25, 2014·Journal of Minimal Access Surgery·Manash Ranjan SahooSyama Sundar Behera
Sep 21, 2010·International Journal of Surgery·Syed Javid Farooq QadriNaveed Khan
Jun 11, 2015·Einstein·Fernando KorkesAntônio Luiz de Vasconcellos Macedo
Apr 21, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Imraan I SardiwallaMoses A Balabyeki
Jun 5, 2018·Minimally Invasive Surgery·K B DeoC S Agrawal

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