Laparoscopic choledochotomy and choledochoduodenostomy for the management of persistent common bile duct stones.
| Autor: | Harbhajan Singh TS; Department of Surgery, Calvary Mater Hospital, Newcastle, NSW, Australia., Seang S; Department of Surgery, Calvary Mater Hospital, Newcastle, NSW, Australia., Roy SP; Department of Surgery, Calvary Mater Hospital, Newcastle, NSW, Australia.; School of Medicine and Surgery, University of Newcastle, Newcastle, NSW, Australia., Majid A; Department of Surgery, Calvary Mater Hospital, Newcastle, NSW, Australia. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | SAGE open medical case reports [SAGE Open Med Case Rep] 2022 Sep 29; Vol. 10, pp. 2050313X221128093. Date of Electronic Publication: 2022 Sep 29 (Print Publication: 2022). |
| DOI: | 10.1177/2050313X221128093 |
| Abstrakt: | Choledochotomy and choledochoduodenostomy were commonly used technique in the early twentieth century to extract bile duct stones. Endoscopic retrograde cholangiopancreatography and sphincterotomy revolutionised the scenario and is currently the preferred first-line option for managing choledocholithiasis. However, in certain circumstances, where endoscopic retrograde cholangiopancreatography fails, choledochotomy and choledochoduodenostomy are the only available options. We present the case of an 86-year-old female with a background of multiple previous presentations with biliary sepsis and ascending cholangitis requiring multiple endoscopic retrograde cholangiopancreatographies that failed to remove all stones in the common bile duct. She underwent a laparoscopic choledochotomy and choledochoduodenostomy that successfully resolved her common bile duct obstruction. Laparoscopic choledochotomy and choledochoduodenostomy reduce the length of hospital stay and help to minimise complications associated with open surgery. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article. (© The Author(s) 2022.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|